Organization Active NPI

Johnny L. Bowman

  • Exclusive Provider Organization
  • Nashville, AR
National Provider Identifier
1508036146
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2365 Issued in AR
Legal business name
JOHNNY L. BOWMAN
Practice address
410 N Main St Ste 3
Nashville, AR 71852-2000
Phone
(870) 845-3725
Fax
(870) 845-3322
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mrs. Shelly Perrin
Title
Secretary
Phone
(870) 845-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 2365 AR Primary

Addresses

Primary practice location

410 N Main St Ste 3
Nashville, AR 71852-2000

Mailing address

410 N Main St Ste 3
Nashville, AR 71852-2000
Phone (870) 845-3725

National Provider Directory

National Provider Directory

Locations

511 W Dequeen Ave
De Queen, AR 71832
Phone (570) 642-2677

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1508036146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST STE 3",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522000",
            "telephone_number": "870-845-3725",
            "fax_number": "870-845-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST STE 3",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522000",
            "telephone_number": "870-845-3725",
            "fax_number": "870-845-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY L. BOWMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "870-845-3725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AR",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.