Individual provider Active NPI

Nathan D Bowker

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1275009896
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4961 Issued in NC
Practice address
6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350
Phone
(704) 541-6400
Fax
(704) 541-4169
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4961 NC Primary

Addresses

Primary practice location

6911 Shannon Willow Rd Ste 400
Charlotte, NC 28226-1350

Mailing address

7005 Shannon Willow Rd Ste 200
Charlotte, NC 28226-1303
Phone (704) 541-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001875 NC Practitioner - Chiropractic 3678818762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Bowker Clinic of Chiropractic and Sports MedicineGroup PAC ID 3577720242, 2 clinicians

Practice addresses (Care Compare)

6911 Shannon Willow Rd
Suite 400
Charlotte, NC 28226-1350
Phone (704) 541-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4961NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bowker Clinic of Chiropractic and Sports Medicine Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

6911 Shannon Willow Rd
Ste 400
Charlotte, NC 28226
Phone (980) 296-2211

7005 Shannon Willow Rd
Ste 200
Charlotte, NC 28226
Phone (704) 541-6400

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1275009896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 SHANNON WILLOW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261303",
            "telephone_number": "704-541-6400",
            "fax_number": "704-541-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261350",
            "telephone_number": "704-541-6400",
            "fax_number": "704-541-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWKER",
        "first_name": "NATHAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.