Individual provider Active NPI

Jeffery Michael Bowen, FNP

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1457058711
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-155731 Issued in AL
Practice address
3066 Lakeview Cir
Gadsden, AL 35907-0858
Phone
(256) 996-4661
NPI assigned
Feb 7, 2023
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLC 180 clinicians

Practice addresses (Care Compare)

9232 Pkwy E
Birmingham, AL 35206-1509
Phone (205) 833-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230405002879 AL Practitioner - Nurse Practitioner 4981079845 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-155731ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince May 1, 2024 Accepting new patients
First Care Medical Clinic CurrentSince Mar 1, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Nov 21, 2023 Accepting new patients
American Family Care, LLC CurrentSince Nov 21, 2023 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

9232 Parkway E
Birmingham, AL 35206
Phone (205) 833-6888

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1652 Montclair Rd
Irondale, AL 35210
Phone (205) 263-8623

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-155731 AL
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 1-155731 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

3066 Lakeview Cir
Gadsden, AL 35907-0858

Mailing address

3066 Lakeview Cir
Gadsden, AL 35907-0858
Phone (256) 996-4661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2023.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1457058711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 LAKEVIEW CIR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359070858",
            "telephone_number": "256-996-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 LAKEVIEW CIR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359070858",
            "telephone_number": "256-996-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JEFFERY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-155731",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-155731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.