Individual provider Active NPI

William Bowman, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1245796911
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140640 Issued in TX
Practice address
1411 E Amarillo Blvd
Amarillo, TX 79107-5555
Phone
(806) 351-7200
Fax
(806) 351-7274
NPI assigned
Feb 18, 2019
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140640 TX Primary

Addresses

Primary practice location

1411 E Amarillo Blvd
Amarillo, TX 79107-5555

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4587
Phone (806) 351-7200

Other practice location 1

2329 Ross Osage St
Amarillo, TX 79103-7910
Phone (806) 350-2544

Other practice location 2

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109-5084
Phone (806) 680-1900

Other practice location 3

1900 SE 34th Avenue
Ste 1700
Amarillo, TX 79118-6732
Phone (806) 351-7530

Other identifiers 3

IdentifierTypeStateIssuer
1W2829OtherTXPTAN
3951386-02MedicaidTX
892624MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326002108 TX Practitioner - Nurse Practitioner 7618217803 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140640TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urgent Care, PLLC Family CurrentSince Oct 1, 2021 Accepting new patients
Stella Mattina Primary Care Inc CurrentSince Mar 1, 2026 Accepting new patients
Midtown Medical and Wellness Center CurrentSince Apr 1, 2024 Accepting new patients
Amarillo Family Chiropractic PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1005 S Jefferson St
Amarillo, TX 79101
Phone (806) 342-3333

1900 SE 34th Ave
Unit 1700
Amarillo, TX 79118
Phone (806) 351-7530

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

4125 Fairway Dr
Ste 190
Carrollton, TX 75010
Phone (214) 942-3100

Interoperability endpoints

  • Direct secure messaging: williambowman@gfmc.allscriptsdirect.net

Organizations & group practices 4

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1245796911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "806-351-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075555",
            "telephone_number": "806-351-7200",
            "fax_number": "806-351-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 ROSS OSAGE ST",
            "address_purpose": "LOCATION",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791037910",
            "country_code": "US",
            "telephone_number": "806-350-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 SW 45th Ave",
            "address_2": "Unit 14",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095084",
            "country_code": "US",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 SE 34th Avenue",
            "address_2": "Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791186732",
            "country_code": "US",
            "telephone_number": "806-351-7530",
            "fax_number": "806-351-7538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1W2829",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3951386-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.