Charles Martin Bower, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2005008042 Issued in MO

Practice address

3545 S National Ave
Springfield, MO 65807-7310

Phone

(417) 988-5071

Fax

(417) 269-5508

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1285665497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S HONEYSUCKLE LN",
            "city": "BATTLEFIELD",
            "state": "MO",
            "postal_code": "656199350",
            "telephone_number": "417-209-4829",
            "fax_number": "417-269-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-988-5071",
            "fax_number": "417-269-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "CHARLES",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2005008042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Bowden, MS, CCC-SLP
• Bailey Bowe, ATC
• Kelli Bowen
• Sheila Louise Bowen, NURSE PRACTITIONER
• Bradley A Bowenschulte, MD
• Mark E Bower, MD
• Alexandria Belle Bowering, APRN
• Drew T Bowers
• Mark Bowers, FPMHNP
• Matthew Bowers, PLPC

• Athletic Trainer in Springfield, MO
• Providers in Springfield, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.