NPIMap

Individual provider Active NPI

Jonathan Leslie Bowman, MD

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1497703169
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5742 Issued in ID
Practice address
223 16TH Avenue North
Nampa, ID 83653
Phone
(208) 466-7869
Fax
(208) 466-5359
NPI assigned
May 5, 2006
Last updated
Apr 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5742 ID Primary

Addresses

Primary practice location

223 16TH Avenue North
Nampa, ID 83653

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 466-7869

Other identifiers 1

IdentifierTypeStateIssuer
1497703169MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000417 ID Practitioner - Family Practice 1658358098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of IdahoGroup PAC ID 4688705346, 47 clinicians
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

1512 12TH Ave Rd
Nampa, ID 83686-6008
Phone (208) 463-5000

207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5742IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. CurrentSince Jul 13, 1992 Accepting new patients
Community Health Clinics, Inc. Family Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC CurrentSince Jan 1, 2021 Accepting new patients
Community Health Clinics, Inc. Family Medicine CurrentSince Jul 13, 1992 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Jun 19, 2017 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 9, 2014 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Jan 9, 2014 Accepting new patients
Community Health Clinics, Inc. Family Medicine Past Accepting new patients
Community Health Clinics, Inc. Past Accepting new patients

Locations

300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512

400 N Allumbaugh St
Boise, ID 83704
Phone (208) 377-9180

848 S La Cassia Dr
Boise, ID 83705
Phone (208) 344-0086

108 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3189

116 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3189

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3115 E Florence Dr
Meridian, ID 83642
Phone (208) 378-4288

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

201 S Paradise Ave
Middleton, ID 83644
Phone (208) 585-0048

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

207 1st St S
Nampa, ID 83651
Phone (208) 318-1376

223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376

Interoperability endpoints

  • Direct secure messaging: jbowman1563124@direct.trinity-health.org
  • Direct secure messaging: jbowman349596@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1497703169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 16TH AVENUE NORTH",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83653",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JONATHAN",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497703169",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.