Organization Active NPI

Jeffrey N Bowman DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
National Provider Identifier
1306204425
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2059 Issued in TX
Legal business name
JEFFREY N BOWMAN DPM PC
Practice address
649 S Broadway Ave Ste 3
Tyler, TX 75701-1677
Phone
(800) 986-9131
Fax
(903) 230-8731
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Aleisha AllenNPI 1275827222
Title
Owner
Phone
(903) 372-3483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 2059 TX Primary

Addresses

Primary practice location

649 S Broadway Ave Ste 3
Tyler, TX 75701-1677

Mailing address

649 S Broadway Ave Ste 3
Tyler, TX 75701-1677
Phone (903) 630-1334

Other identifiers 1

IdentifierTypeStateIssuer
084251001MedicaidTX

Other names 1

  • HOUSTON FOOT SPECIALISTS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000390 TX Part B Supplier - Clinic/Group Practice 7214023233 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Tyler, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8945 Long Point Rd
Ste 209
Houston, TX 77055
Phone (713) 467-8886

8945 Long Point Rd
Ste 111
Houston, TX 77055
Phone (713) 464-7278

649 S Broadway Ave
Ste 3
Tyler, TX 75701
Phone (800) 986-9131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1306204425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S BROADWAY AVE STE 3",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011677",
            "telephone_number": "903-630-1334",
            "fax_number": "903-230-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S BROADWAY AVE STE 3",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011677",
            "telephone_number": "800-986-9131",
            "fax_number": "903-230-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N BOWMAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-372-3483"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084251001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOUSTON FOOT SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.