Individual provider Active NPI

Craig Stephen Bowden, PA-C

  • Physician Assistant
  • Ogden, UT
National Provider Identifier
1366698979
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5082775-1206 Issued in UT
Practice address
2240 Adams Ave
Ogden, UT 84401-1511
Phone
(801) 393-5355
Fax
(801) 394-4609
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5082775-1206 UT Primary

Addresses

Primary practice location

2240 Adams Ave
Ogden, UT 84401-1511

Mailing address

2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 393-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000533 UT Practitioner - Physician Assistant 6305913823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S State St
Clearfield, UT 84015-1043
Phone (801) 334-0030

2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 393-5355

781 25TH St
Ogden, UT 84401-2509
Phone (801) 622-1451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Community Health Center Inc CurrentSince Aug 18, 2008 Accepting new patients
Midtown Community Health Center Inc CurrentSince Aug 18, 2008 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Jun 1, 2023 Accepting new patients
Midtown Community Health Center Inc Past Accepting new patients

Locations

22 S State St
Ste 1007
Clearfield, UT 84015
Phone (801) 334-0030

2240 Adams Ave
Ogden, UT 84401
Phone (801) 393-5355

60 E 3750 S
South Salt Lake, UT 84115
Phone (801) 486-0911

6321 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 265-2212

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1366698979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 ADAMS AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011511",
            "telephone_number": "801-393-5355",
            "fax_number": "801-394-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 ADAMS AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011511",
            "telephone_number": "801-393-5355",
            "fax_number": "801-394-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "CRAIG",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5082775-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.