Organization Active NPI

William J Bowman MD PC

  • Dermatology Physician
  • Englewood, CO
National Provider Identifier
1356401152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21343 Issued in CO
Legal business name
WILLIAM J BOWMAN MD PC
Practice address
3601 S Clarkson St
Suite 530
Englewood, CO 80113-3944
Phone
(303) 788-1510
Fax
(303) 788-1578
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William J Bowman, MD
Title
Doctor
Phone
(303) 788-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 21343 CO Primary

Addresses

Primary practice location

3601 S Clarkson St
Suite 530
Englewood, CO 80113-3944

Mailing address

3601 S Clarkson St
Suite 530
Englewood, CO 80113-3944
Phone (303) 788-1510

Other identifiers 1

IdentifierTypeStateIssuer
96823585MedicaidCO

National Provider Directory

National Provider Directory

Locations

3601 S Clarkson St
Ste 530
Englewood, CO 80113
Phone (303) 697-4086

Practitioners & affiliated clinicians

Practitioners 1

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356401152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE 530",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-788-1510",
            "fax_number": "303-788-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE 530",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-788-1510",
            "fax_number": "303-788-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J BOWMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "303-788-1510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "21343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96823585",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.