Individual provider Active NPI

Jefferey Lee Bowden, D.O.

  • Family Medicine Physician
  • Battle Ground, WA
National Provider Identifier
1639115991
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00002349 Issued in WA
Practice address
720 W Main St
Ste 115
Battle Ground, WA 98604-4406
Phone
(360) 666-3900
Fax
(360) 666-3901
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00002349 WA Primary

Addresses

Primary practice location

720 W Main St
Ste 115
Battle Ground, WA 98604-4406

Mailing address

720 W Main St
Ste 115
Battle Ground, WA 98604-4406
Phone (360) 666-3900

Other identifiers 1

IdentifierTypeStateIssuer
8513830MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080731000052 WA Practitioner - Family Practice 2567536196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2101 NE 139TH St
Suite 460
Vancouver, WA 98686-2325
Phone (360) 487-2727

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC Family Medicine CurrentSince Mar 31, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 16, 2011 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 16, 2011 Accepting new patients

Locations

2101 NE 139th St
Ste 460
Vancouver, WA 98686
Phone (360) 487-2727

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

2101 NE 139th St
Ste 450
Vancouver, WA 98686
Phone (360) 487-4848

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: jbowden17635@direct.lhs.org

Organizations & group practices 3

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

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1639115991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W MAIN ST",
            "address_2": "STE 115",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044406",
            "telephone_number": "360-666-3900",
            "fax_number": "360-666-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAIN ST",
            "address_2": "STE 115",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044406",
            "telephone_number": "360-666-3900",
            "fax_number": "360-666-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "JEFFEREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513830",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

Verify at the official NPI Registry.