Individual provider Active NPI

Craig A Bowars, DC

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1508947359
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008794 Issued in IL
Practice address
1415 Croxton Ave
Bloomington, IL 61701-7057
Phone
(309) 829-3330
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008794 IL Primary

Addresses

Primary practice location

1415 Croxton Ave
Bloomington, IL 61701-7057

Mailing address

1415 Croxton Ave
Bloomington, IL 61701-7057
Phone (309) 829-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000971 IL Practitioner - Chiropractic 6608845334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 Croxton Ave
Bloomington, IL 61701-7057
Phone (309) 829-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008794ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a. Bowars DC, PLLC CurrentSince Feb 6, 2019 Accepting new patients
Mitchell Family Chiropractic PC Chiropractor Past Accepting new patients

Locations

1415 Croxton Ave
Bloomington, IL 61701
Phone (309) 663-2011

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1508947359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CROXTON AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017057",
            "telephone_number": "309-829-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CROXTON AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017057",
            "telephone_number": "309-829-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWARS",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.