Thomas Dean Bowman
Individual provider Active NPI Athletic Trainer · Tulsa, OK
NPI 1508630807 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1508630807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 5530 S 79TH East PL Ste 10
Tulsa, OK 74145-7843 - Phone
- (918) 855-4222
- NPI assigned
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
5530 S 79TH East PL Ste 10
Tulsa, OK 74145-7843
Mailing address
5530 S 79TH East PL Ste 10
Tulsa, OK 74145-7843
Phone (918) 855-4222
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.