Individual provider Active NPI

William J Bowen

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1235146713
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17278 Issued in OK
Practice address
7858 S Olympia Ave
Tulsa, OK 74132-1857
Phone
(918) 986-9250
Fax
(918) 986-9205
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8925 TX
Emergency Medicine Physician 207P00000X 17278 OK Primary

Addresses

Primary practice location

7858 S Olympia Ave
Tulsa, OK 74132-1857

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 488-6653

Other practice location 1

6160 S Yale Ave
Tulsa, OK 74136-1930
Phone (918) 495-2600

Other practice location 2

102 S Main St
Sand Springs, OK 74063-6509
Phone (918) 246-5750

Other practice location 3

1801 E Kenosha St
Broken Arrow, OK 74012-2098
Phone (918) 449-4150

Other practice location 4

2950 S Elm Pl Ste 120
Broken Arrow, OK 74012-7816
Phone (918) 451-5191

Other practice location 5

10506 S Memorial Dr
Tulsa, OK 74133-6914
Phone (918) 943-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070203000105 OK Practitioner - Emergency Medicine 1658345046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17278OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Jun 4, 2018 Accepting new patients
Warren Clinic Inc CurrentSince Dec 1, 2022 Accepting new patients
Saint Francis Outreach Services LLC Past Accepting new patients
Southcrest Emergency Physicians PC Past Accepting new patients
South Central Emergency Services PC Emergency Medicine Past Accepting new patients

Locations

2950 S Elm Pl
Ste 120
Broken Arrow, OK 74012
Phone (918) 451-5191

1801 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 449-4150

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

6160 S Yale Ave
Tulsa, OK 74136
Phone (918) 492-7200

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

10506 S Memorial Dr
Tulsa, OK 74133
Phone (918) 369-3200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

7858 S Olympia Ave
Tulsa, OK 74132
Phone (918) 986-9200

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1235146713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-488-6653",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7858 S OLYMPIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321857",
            "telephone_number": "918-986-9250",
            "fax_number": "918-986-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636509",
            "country_code": "US",
            "telephone_number": "918-246-5750",
            "fax_number": "918-246-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122098",
            "country_code": "US",
            "telephone_number": "918-449-4150",
            "fax_number": "918-449-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 S Elm Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127816",
            "country_code": "US",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "fax_number": "918-369-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8925",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "17278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.