Active NPI
James C Bowman, MD
- Dentist
- Rosiclare, IL
National Provider Identifier
1306020904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021859
- Practice address
- 226 Main Street
Rosiclare, IL 62982 - Phone
- (618) 285-3930
- NPI assigned
- Dec 19, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019021859 | IL | Primary |
Addresses
Primary practice location
226 Main Street
Rosiclare, IL 62982
Mailing address
13245 Kessler Rd
PO Box 233
Cairo, IL 62914-3101
Phone (618) 734-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019021859 | Medicaid | IL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019021859 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health & Emergency Services, Inc. | Past | Accepting new patients | |
| Community Health & Emergency Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- james.bowman.p1@direct.chesi.nextgenshare.com
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Cairo, IL
- NPI 1255323705
-
- Federally Qualified Health Center (FQHC)
- Cairo, IL
- NPI 1710979588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1306020904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13245 KESSLER RD",
"address_2": "PO BOX 233",
"city": "CAIRO",
"state": "IL",
"postal_code": "629143101",
"telephone_number": "618-734-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MAIN STREET",
"city": "ROSICLARE",
"state": "IL",
"postal_code": "62982",
"telephone_number": "618-285-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019021859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019021859",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosiclare, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.