Individual provider Active NPI

Brandon Bowers, OTD

  • Occupational Therapist
  • Johnson City, TN
National Provider Identifier
1235085374
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8440 Issued in TN
Practice address
2041 Hamilton PL
Johnson City, TN 37604-7920
Phone
(423) 804-1020
Fax
(423) 317-7773
NPI assigned
Mar 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8440 TN Primary

Addresses

Primary practice location

2041 Hamilton PL
Johnson City, TN 37604-7920

Mailing address

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 375-8907

Other practice location 1

113 Hedrick Dr
Newport, TN 37821-2930
Phone (423) 438-1124

Other practice location 2

900 W Main St
Rogersville, TN 37857-2448
Phone (423) 500-5600

Other practice location 3

410 N Broad St
New Tazewell, TN 37825-6606
Phone (423) 381-8813

Other practice location 4

1009 Hampshire Dr
Maryville, TN 37801-3525
Phone (865) 518-6791

Other practice location 5

263 E Broadway Blvd
Jefferson City, TN 37760-2810
Phone (865) 375-0880

Other practice location 6

2250 Broadway Dr Ste A1
Bean Station, TN 37708-2016
Phone (865) 935-8111

Other practice location 7

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 375-8907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312002962 TN Practitioner - Occupational Therapist in Private Practice 8527541028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

325 W Morris Blvd
Morristown, TN 37813-2237
Phone (423) 317-7772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8440TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Physical Therapy LLC CurrentSince Jun 23, 2025 Accepting new patients
Jordan C Black Occupational Therapist CurrentSince Mar 10, 2026 Accepting new patients

Locations

2250 Broadway Dr
Ste A1
Bean Station, TN 37708
Phone (865) 935-8111

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

2041 Hamilton Pl
Johnson City, TN 37604
Phone (423) 804-1020

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

900 W Main St
Rogersville, TN 37857
Phone (423) 272-8829

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1235085374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 HAMILTON PL",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047920",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Hedrick Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378212930",
            "country_code": "US",
            "telephone_number": "423-438-1124",
            "fax_number": "423-244-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572448",
            "country_code": "US",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "fax_number": "423-254-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hampshire Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013525",
            "country_code": "US",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602810",
            "country_code": "US",
            "telephone_number": "865-375-0880",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Broadway Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bean Station",
            "state": "TN",
            "postal_code": "377082016",
            "country_code": "US",
            "telephone_number": "865-935-8111",
            "fax_number": "423-822-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Morris Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132237",
            "country_code": "US",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "BRANDON",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.