Matthew Bowden, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2016032815 Issued in MO

Practice address

209 S Kingshighway St
Saint Charles, MO 63301-1695

Phone

(636) 949-4949

NPI assigned

Feb 8, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1538607635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 OAK CREEK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262130",
            "telephone_number": "402-203-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S KINGSHIGHWAY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011695",
            "telephone_number": "636-949-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 University Ave",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "656132578",
            "country_code": "US",
            "telephone_number": "417-328-5281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MATTHEW",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "MO",
            "license": "2016032815",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2016032815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Bortfeld, P.T.
• Jocelyn Jeanne Bosch, OT
• Cynthia Lee Boschert, LPC
• Boulevard Dental Care L.L.C.
• Michael Bournstein, LPC
• Kristen Diane Bowdern
• Mary Beth Bowman, LCSW
• Natalie Grace Bowman
• Teresa M Bowman, IBCLC
• Brian A Boyd, MD

• All providers in Saint Charles, MO
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.