J Russell Bowman, DO, MS, MHA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0061591 Issued in CO

Practice address

8540 Scarborough Dr Ste 100
Colorado Springs, CO 80920-7518

Phone

(719) 364-6970

Fax

(719) 365-7667

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

Practice roles

Locations

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.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Hydaburg, AK
  • NPI 1073728168
  NPD (past)
• Southeast Alaska Regional Health Consortium

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1477555043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-1103",
            "fax_number": "720-718-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207518",
            "telephone_number": "719-364-6970",
            "fax_number": "719-365-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Vassar Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062725",
            "country_code": "US",
            "telephone_number": "505-268-4065",
            "fax_number": "505-268-4093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Integrity Center Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809171683",
            "country_code": "US",
            "telephone_number": "719-591-2558",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Garden Of The Gods Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809073416",
            "country_code": "US",
            "telephone_number": "719-365-3200",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13445 Voyager Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809217648",
            "country_code": "US",
            "telephone_number": "719-365-3220",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "J",
        "middle_name": "RUSSELL",
        "credential": "DO, MS, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4928",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0061591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD08671",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennie Bowhay-Sweet, NP
• Cameron Bowker
• Nicholas Matthew Bowland, M. ED.
• McKenzie Bowling
• Elizabeth A Bowman, MA
• Kaylah Joy Bowman, LCSW
• Kristen Bowman, MA
• Krystoffer Loren Bowman, LPC
• Latosha N Bowman
• Morgan Bowser

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.

Verify at the official NPI Registry.