Active NPI
Jeffrey N Bowman DPM PC
- Foot & Ankle Surgery Podiatrist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aleisha Allen
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084251001 | Medicaid | TX |
Other names 1
- HOUSTON FOOT SPECIALISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Houston, TX
- NPI 1316164247
O20071022000390
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Tyler, TX
- NPI 1275827222
-
- Athletic Trainer
- Houston, TX
- NPI 1205893906
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.