Active NPI
Daniel S. Bowerman, D.C., F.A.C.O.
- Orthopedic Chiropractor
- Philadelphia, PA
National Provider Identifier
1235109406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC001839L
- Practice address
- 512 S 4TH St
Philadelphia, PA 19147-1507 - Phone
- (215) 923-5577
- Fax
- (215) 627-3530
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC001839L | PA | Primary |
Addresses
Primary practice location
512 S 4TH St
Philadelphia, PA 19147-1507
Mailing address
512 S 4TH St
Philadelphia, PA 19147-1507
Phone (215) 923-5577
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2633236 | Other | PA | AETNA |
| 000614 | Other | PA | HIGHMARK BLUE SHIELD |
| 0060992000 | Other | PA | KHPE HMO |
| 0060992000 | Other | PA | IBC PERSONAL CHOICE |
| J000614 | Other | PA | AMERIHEALTH ADMINISTRATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC001839L | PA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cara K. Hillwig, DC, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Philadelphia, PA
- NPI 1114972023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235109406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471507",
"telephone_number": "215-923-5577",
"fax_number": "215-627-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S 4TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471507",
"telephone_number": "215-923-5577",
"fax_number": "215-627-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERMAN",
"first_name": "DANIEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C., F.A.C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "DC001839L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2633236",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000614",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE HMO",
"identifier": "0060992000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC PERSONAL CHOICE",
"identifier": "0060992000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "J000614",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.