Individual provider Active NPI

Gregory Bowers, D.C.

  • Chiropractor
  • Edmonds, WA
National Provider Identifier
1275998957
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60555452 Issued in WA
Practice address
420 3Rd Ave S Apt 5
Edmonds, WA 98020-3569
Phone
(425) 835-1932
NPI assigned
Dec 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60555452 WA Primary

Addresses

Primary practice location

420 3Rd Ave S Apt 5
Edmonds, WA 98020-3569

Mailing address

420 3Rd Ave S Apt 5
Edmonds, WA 98020-3569
Phone (425) 835-1932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002934 WA Practitioner - Chiropractic 6608106273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edmonds Family Chiropractic LLC Chiropractor CurrentSince Apr 10, 2021 Accepting new patients
Stephanie Greenall Chiropractor PastSince Aug 1, 2019 Accepting new patients
Bowers Family Chiropractic Past Accepting new patients

Locations

8325 212th St SW
Ste 103
Edmonds, WA 98026
Phone (425) 776-4224

24024 84th Ave W
Edmonds, WA 98026
Phone (425) 776-4224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1275998957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 3RD AVE S APT 5",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203569",
            "telephone_number": "425-835-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD AVE S APT 5",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203569",
            "telephone_number": "425-835-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60555452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.