Active NPI
Keith Bowman, MSN, RN, FNP-BC
- Family Nurse Practitioner
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11035475
- Practice address
- 401 SW 1St Ave Apt 3307
Fort Lauderdale, FL 33301-4553 - Phone
- (248) 894-1999
- NPI assigned
- Feb 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209026805 | IL | |
| Family Nurse Practitioner | 363LF0000X | 4704288263 | MI | |
| Family Nurse Practitioner | 363LF0000X | APRN11035475 | FL | Primary |
Addresses
Primary practice location
401 SW 1St Ave Apt 3307
Fort Lauderdale, FL 33301-4553
Mailing address
2112 Pinecrest Dr
Ferndale, MI 48220-1225
Phone (248) 894-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200513002406 | MI | Practitioner - Nurse Practitioner | 6901237619 | Reassigns benefits to 2 organizations |
| I20230324002026 | IL | Practitioner - Nurse Practitioner | 6901237619 | Reassigns benefits to 4 organizations |
| I20250518000046 | FL | Practitioner - Nurse Practitioner | 6901237619 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sterling Emergency Services of Miami Beach PAEmergency Medicine Services of FL LLC
Practice addresses (Care Compare)
4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2064
7201 N University Dr
University Hospital and Medical Center
Tamarac, FL 33321-2913
Phone (954) 721-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209026805 | IL | MD | Nurse Practitioner |
| 4704288263 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Michigan Providers PLLC | Current | Accepting new patients | |
| Sterling Emergency Services of Miami Beach PA | Nurse Practitioner | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Nurse Practitioner | Current | Accepting new patients |
| Humboldt Park Health Emergency Medicine, LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Professional Emergency Care, PC | Nurse Practitioner | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Nurse Practitioner | Current | Accepting new patients |
| Washtenaw Urgent Care | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Florida Em-I Medical Services, PA | Nurse Practitioner | Current | Accepting new patients |
| Sterling Emergency Services of Miami Beach PA | Nurse Practitioner | Current | Accepting new patients |
Locations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
9532 Eagle Way
Chicago, IL 60678
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
2077 N Clybourn Ave
Chicago, IL 60614
Phone (773) 886-1500
121 W North Ave
Chicago, IL 60610
Phone (312) 643-5606
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
100 Powell Dr
Ste 8
Dundee, MI 48131
Phone (734) 823-5900
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kbowman675888@direct.hfhs.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1083912471
FL, Nurse Practitioner
-
- Nurse Practitioner
- Ft Lauderdale, FL
- NPI 1316764988
FL, Nurse Practitioner
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1104592120
IL
-
- Emergency Medicine Physician
- Clinton Township, MI
- NPI 1326235698
MI, Nurse Practitioner
-
- Nurse Practitioner
- Ft Lauderdale, FL
- NPI 1003633694
-
- Nurse Practitioner
- Coral Springs, FL
- NPI 1336966910
-
- Emergency Medicine Physician
- Miami Beach, FL
- NPI 1659355253
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1669003273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 PINECREST DR",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201225",
"telephone_number": "248-894-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SW 1ST AVE APT 3307",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333014553",
"telephone_number": "248-894-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "KEITH",
"credential": "MSN, RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-01",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209026805",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704288263",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11035475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.