Bryce Anthony Bowen

Key facts

NPI

1295540128

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse 163WP0808X

License

1187304 (TX)

Practice address

23 E Ross Ave
Sapulpa, OK 74066-6423

Phone

(918) 216-4999

NPI assigned

Feb 10, 2025

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2025.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1295540128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-216-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-216-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRYCE",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1187304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

• Rebecca Blossom, PTA
• Audria Bobbitt
• Marley Bobsein, PTA
• Larry Paul Bolain II
• Arthur L Bowen, CFA/LPN
• Joy Shannon Bowen
• Eric Bowman
• Brianna Joy Boyer, BHA/ CM1
• Deborah Brantly Hunt, MS, CNS
• Leslie E. Brasel, D. PH.

All providers in Sapulpa, OK · Psychiatric/Mental Health Registered Nurse in Oklahoma