Individual provider Active NPI

Travis Perry Bowen, DO

  • Sports Medicine (Family Medicine) Physician
  • Mobile, AL
National Provider Identifier
1629569223
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO.2629 Issued in AL
Practice address
1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409
Phone
(251) 435-2663
NPI assigned
May 20, 2018
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DO.2629 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409

Mailing address

1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409
Phone (251) 435-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001399 AL Practitioner - Family PracticePractitioner - Sports Medicine 5092062125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Jun 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Aug 15, 2022 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

1720 Spring Hill Ave
Ste 301
Mobile, AL 36604

5320 Highway 90 W
Mobile, AL 36619
Phone (251) 602-1667

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949

75 Shell St
Ste 200
Saraland, AL 36571

Interoperability endpoints

  • Direct secure messaging: tbowen115580@directinfirmaryhealth.org

Organizations & group practices 4

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.

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": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1629569223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041409",
            "telephone_number": "251-435-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041409",
            "telephone_number": "251-435-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TRAVIS",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "DO.2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.