Individual provider Active NPI

Keith Bowman, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1669003273
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035475 Issued in FL
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

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 3476553215, 47 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

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

LicenseStateTypeSpecialty
209026805ILMDNurse Practitioner
4704288263MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Michigan Providers PLLC CurrentSince Apr 10, 2022 Accepting new patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Florida Em-I Medical Services, PA Nurse Practitioner Current Accepting new patients
Humboldt Park Health Emergency Medicine, LLC CurrentSince Feb 10, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 17, 2024 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 29, 2024 Accepting new patients
Professional Emergency Care, PC Nurse Practitioner CurrentSince Apr 15, 2020 Accepting new patients
Florida Em-I Medical Services, PA Nurse Practitioner CurrentSince Jun 1, 2025 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 CurrentSince Jun 1, 2025 Accepting new patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner CurrentSince Oct 20, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.