Individual provider Active NPI

Sarah Leeanne Jones Bowerman

  • Pedorthist
  • Beaumont, TX
National Provider Identifier
1407784804
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
279 Issued in FL
Practice address
7645 Phelan Blvd
Beaumont, TX 77706-5753
Phone
(409) 832-8750
NPI assigned
May 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X 279 FL Primary
Pedorthist 224L00000X 4972 TX

Addresses

Primary practice location

7645 Phelan Blvd
Beaumont, TX 77706-5753

Mailing address

PO Box 7380
Beaumont, TX 77726-7380
Phone (409) 832-8750

Other names 1

  • Sarah Leeanne Bowerman Professional name

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

LicenseStateTypeSpecialty
4972TXMDAddiction (Substance Use Disorder) Psychologist
279FLMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Pharmacy Services, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1407784804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7380",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267380",
            "telephone_number": "409-832-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065753",
            "telephone_number": "409-832-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES BOWERMAN",
        "first_name": "SARAH",
        "middle_name": "LEEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "FL",
            "license": "279",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "TX",
            "license": "4972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BOWERMAN",
            "middle_name": "LEEANNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.