Active NPI
Bradin Cole Bowie, DC
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1326869454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4571
- Practice address
- 12600 N Pennsylvania Ave
Oklahoma City, OK 73120-9428 - Phone
- (405) 943-0303
- Fax
- (405) 272-0515
- NPI assigned
- Oct 21, 2024
- Last updated
- Oct 21, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4571 | OK | Primary |
Addresses
Primary practice location
12600 N Pennsylvania Ave
Oklahoma City, OK 73120-9428
Mailing address
37725 Highway 9
Tecumseh, OK 74873-5142
Phone (405) 585-1394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4571 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1326869454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37725 HIGHWAY 9",
"city": "TECUMSEH",
"state": "OK",
"postal_code": "748735142",
"telephone_number": "405-585-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 N PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209428",
"telephone_number": "405-943-0303",
"fax_number": "405-272-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWIE",
"first_name": "BRADIN",
"middle_name": "COLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.