Individual provider Active NPI

Robert Benjamin Bowman, DO

  • Emergency Medicine Physician
  • Booneville, AR
National Provider Identifier
1568089555
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-16974 Issued in AR
Practice address
880 W Main St
Booneville, AR 72927-3443
Phone
(479) 675-2800
NPI assigned
Jun 25, 2020
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-16974 AR Primary
Family Medicine Physician 207Q00000X 7339 OK
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

880 W Main St
Booneville, AR 72927-3443

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220103000568 TX Practitioner - Family Practice 8123419058 Reassigns benefits to 1 organization
I20230918001448 AR Practitioner - Emergency Medicine 8123419058 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital OzarkGroup PAC ID 3678467412, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

801 W River St
Ozark, AR 72949-3023
Phone (479) 667-4138

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7339OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Aug 20, 2023 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Ozark CurrentSince Aug 20, 2023 Accepting new patients
Mercy Hospital Waldron CurrentSince Aug 20, 2023 Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 14, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 22, 2021 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Paris CurrentSince Aug 20, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Aug 20, 2023 Accepting new patients
Mercy Hospital Ozark Current Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 22, 2021 Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 14, 2023 Accepting new patients

Locations

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

800 W Main St
Booneville, AR 72927
Phone (479) 675-2800

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1568089555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273443",
            "telephone_number": "479-675-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ROBERT",
        "middle_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-16974",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7339",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

Verify at the official NPI Registry.