Organization Active NPI

Bowman Chiropractic S.C.

  • Chiropractor
  • Tomahawk, WI
National Provider Identifier
1558836403
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOWMAN CHIROPRACTIC S.C.
Practice address
417 N 4TH St
Tomahawk, WI 54487-1352
Phone
(715) 453-2515
Fax
(715) 453-1900
NPI assigned
Oct 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Dr. Emily Ann Bowman, DCNPI 1225524523
Title
President
Phone
(715) 453-2515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

417 N 4TH St
Tomahawk, WI 54487-1352

Mailing address

417 N 4TH St
Tomahawk, WI 54487-1352
Phone (715) 453-2515

Other identifiers 1

IdentifierTypeStateIssuer
100080908MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181101000630 WI Part B Supplier - Clinic/Group Practice 2769735133 Receives reassigned benefits from 2 practitioners
Practice locations: Tomahawk, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1558836403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N 4TH ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871352",
            "telephone_number": "715-453-2515",
            "fax_number": "715-453-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N 4TH ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871352",
            "telephone_number": "715-453-2515",
            "fax_number": "715-453-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWMAN CHIROPRACTIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-453-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080908",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomahawk, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.