Individual provider Active NPI

Clara Rebekah Bowen, DC

  • Chiropractor
  • Jasper, AL
National Provider Identifier
1194365551
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2630 Issued in AL
Practice address
405 N Airport Rd
Jasper, AL 35504-7533
Phone
(205) 221-3196
Fax
(205) 221-3101
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2630 AL Primary

Addresses

Primary practice location

405 N Airport Rd
Jasper, AL 35504-7533

Mailing address

405 N Airport Rd
Jasper, AL 35504-7533
Phone (205) 221-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309002165 AL Practitioner - Chiropractic 2264860055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowen Family Chiropractic Clinic IncGroup PAC ID 5496768319, 3 clinicians

Practice addresses (Care Compare)

405 N Airport Rd
Jasper, AL 35504-7533
Phone (205) 221-3196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2630ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Family Chiropractic Clinic Inc Single Specialty CurrentSince Jan 27, 2020 Accepting new patients

Locations

405 N Airport Rd
Jasper, AL 35504
Phone (205) 221-3196

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1194365551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047533",
            "telephone_number": "205-221-3196",
            "fax_number": "205-221-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047533",
            "telephone_number": "205-221-3196",
            "fax_number": "205-221-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "CLARA",
        "middle_name": "REBEKAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.