Active NPI
Thomas E Bowser, M.D.
- Neurology Physician
- Colorado Springs, CO
National Provider Identifier
1467454371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 41907
- Practice address
- 4105 Briargate Pkwy Ste 105
Colorado Springs, CO 80920-3482 - Phone
- (719) 637-8444
- Fax
- (719) 638-8286
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 41907 | CO | Primary |
Addresses
Primary practice location
4105 Briargate Pkwy Ste 105
Colorado Springs, CO 80920-3482
Mailing address
4105 Briargate Pkwy Ste 105
Colorado Springs, CO 80920-3482
Phone (719) 637-8444
Other practice location 1
8540 Scarborough Drive Ste 390
Colorado Springs, CO 80920
Phone (719) 637-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93252081 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040122001081 | CO | Practitioner - Neurology | 6800798554 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41907 | CO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Neurology, PC | Neurology | 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": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1467454371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 BRIARGATE PKWY STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203482",
"telephone_number": "719-637-8444",
"fax_number": "719-638-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 BRIARGATE PKWY STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203482",
"telephone_number": "719-637-8444",
"fax_number": "719-638-8286"
}
],
"practiceLocations": [
{
"address_1": "8540 SCARBOROUGH DRIVE STE 390",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80920",
"country_code": "US",
"telephone_number": "719-637-8444",
"fax_number": "719-638-8286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWSER",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "41907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93252081",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.