Active NPI
Philip Don Bowen, M.S.W./L.C.S.W.
- Clinical Social Worker
- Norman, OK
National Provider Identifier
1336377332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1105
- Practice address
- 518 Fleetwood Dr
Norman, OK 73072-6567 - Phone
- (405) 210-2539
- NPI assigned
- Jun 29, 2009
- Last updated
- Jun 29, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1105 | OK | Primary |
Addresses
Primary practice location
518 Fleetwood Dr
Norman, OK 73072-6567
Mailing address
518 Fleetwood Dr
Norman, OK 73072-6567
Phone (405) 210-2539
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 |
|---|---|---|---|
| 1105 | OK | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1336377332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 FLEETWOOD DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730726567",
"telephone_number": "405-210-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 FLEETWOOD DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730726567",
"telephone_number": "405-210-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "PHILIP",
"middle_name": "DON",
"name_prefix": "Mr.",
"credential": "M.S.W./L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.