Active NPI
Elwood Paul Bowerman, LPC
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1255577706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 568
- Practice address
- 8404 Pinewood Dr
Oklahoma City, OK 73135-6174 - Phone
- (405) 620-1594
- NPI assigned
- Jan 5, 2009
- Last updated
- Jan 5, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 568 | OK | Primary |
Addresses
Primary practice location
8404 Pinewood Dr
Oklahoma City, OK 73135-6174
Mailing address
PO Box 95435
Oklahoma City, OK 73143-5435
Phone (405) 620-1594
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 568 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elwood Paul Bowerman LLC | Professional | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1154569846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1255577706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95435",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731435435",
"telephone_number": "405-620-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 PINEWOOD DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356174",
"telephone_number": "405-620-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERMAN",
"first_name": "ELWOOD",
"middle_name": "PAUL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-05",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.