Blake Lawrence Bowman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN-DEN-LIC-25963 Issued in MT

Practice address

Commanding Officer, Naval Hospital
100 Brewster Blvd
Camp Lejeune, NC 28547

Phone

(910) 451-2208

NPI assigned

Jul 3, 2023

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1427735216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 HART AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653602",
            "telephone_number": "928-269-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER, NAVAL HOSPITAL",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-451-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BLAKE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-25963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Edward Bouchard, IDC
• Lee Edward Boujie, PA-C
• Betty M Bowen, NP
• Daniel Bowen, MD
• McKenzie Raber Bowling
• Robert Roland Bradford III, CRNA
• Rachael Naomi Bradley
• Justine G Brady
• Mary Anne Brady, CNM
• Catherine Alyssa Brahe, MD

• Dentist in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.