NPIMap

Individual provider Active NPI

Ty Alexander Bowman, MD

  • Emergency Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1619503596
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67421 Issued in AZ
Practice address
13657 W McDowell Rd
Goodyear, AZ 85395-2601
Phone
(623) 882-1640
NPI assigned
Mar 23, 2020
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67421 AZ Primary

Addresses

Primary practice location

13657 W McDowell Rd
Goodyear, AZ 85395-2601

Mailing address

PO Box 2132
Litchfield Park, AZ 85340-2132

Other practice location 1

520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (928) 668-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230724003099 AZ Practitioner - Emergency Medicine 0143680090 Reassigns benefits to 5 organizations
I20231003000022 TX Practitioner - Emergency Medicine 0143680090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7101
Phone (602) 561-1000

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67421AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Jul 7, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Feb 4, 2026 Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Dec 14, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 27, 2023 Accepting new patients
Gila River Health Care CurrentSince Dec 14, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 27, 2023 Accepting new patients
Community Hospital Association, Inc. Current Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

Organizations & group practices 14

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 14

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1619503596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2132",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952601",
            "telephone_number": "623-882-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "928-668-1803",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "67421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.