Active NPI
William J Bowman MD PC
- Dermatology Physician
- Englewood, CO
National Provider Identifier
1356401152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21343
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96823585 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Neuropsychologist
- Englewood, CO
- NPI 1952365462
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.