Individual provider Active NPI

Charles W Bower, MD

  • Diagnostic Radiology Physician
  • Goshen, IN
National Provider Identifier
1245289446
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01066241A Issued in IN
Practice address
1855 S Main St Ste a
Goshen, IN 46526-4853
Phone
(574) 533-7476
NPI assigned
May 8, 2006
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01066241A IN Primary

Addresses

Primary practice location

1855 S Main St Ste a
Goshen, IN 46526-4853

Mailing address

22410 Canyon River Dr
Goshen, IN 46528-9035
Phone (312) 590-6170

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address charles.bowermd.p1@direct.goshenphysicians.nextgenshare.com
Direct Messaging Address charles.bower@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180614003051 IN Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 2264321215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

1855 S Main St
Suite a
Goshen, IN 46526-4853
Phone (574) 533-7476

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066241AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc CurrentSince Apr 29, 2022 Accepting new patients
Goshen Health System Inc Diagnostic Radiology CurrentSince Apr 29, 2022 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients

Locations

1855 S Main St
Ste A
Goshen, IN 46526
Phone (574) 533-7476

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Interoperability endpoints

  • Direct secure messaging: charles.bower@goshenhealthdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1245289446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22410 CANYON RIVER DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289035",
            "telephone_number": "312-590-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264853",
            "telephone_number": "574-533-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01066241A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.bowermd.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1855 S Main St Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.bower@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main St Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.