Active NPI
Brian K Bowcock, D.C.
- Orthopedic Chiropractor
- Fairhaven, MA
National Provider Identifier
1417016338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 707
- Practice address
- 84 Huttleston Avenue
Fairhaven, MA 02719 - Phone
- (508) 997-3600
- Fax
- (508) 999-3012
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 707 | MA | Primary |
Addresses
Primary practice location
84 Huttleston Avenue
Fairhaven, MA 02719
Mailing address
84 Huttleston Avenue
Fairhaven, MA 02719
Phone (508) 997-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000790 | MA | Practitioner - Chiropractic | 8123038395 | Practice locations: Fairhaven, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
84 Huttleston Ave
Fairhaven, MA 02719-3140
Phone (508) 997-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417016338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 HUTTLESTON AVENUE",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "02719",
"telephone_number": "508-997-3600",
"fax_number": "508-999-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 HUTTLESTON AVENUE",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "02719",
"telephone_number": "508-997-3600",
"fax_number": "508-999-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWCOCK",
"first_name": "BRIAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MA",
"license": "707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.