Mark D Bowden, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS6302 Issued in FL

Practice address

31075 Cortez Blvd
Brooksville, FL 34602-7542

Phone

(352) 796-5303

Fax

(352) 796-5304

NPI assigned

Aug 29, 2006

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

University of New England, College of Osteo Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthflo Medical Clinics IncGroup PAC ID 8426966854, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9062/brand/1/csg/1/fhir/r4

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.

• Healthflo Medical Clinics Inc

  dba Ridge Manor Medical Clinic

  • Rural Health Clinic/Center
  • Ridge Manor, FL
  • NPI 1164568275
  Medicare reassignment Care Compare group NPD
• Hernando Primary Health LLC

  • Family Medicine Physician
  • Spring Hill, FL
  • NPI 1518793397
  Medicare reassignment
• Ridge Manor Family Medicine,LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1013025022
  NPD (past) Authorized official
• Healthflo Medical Clinics Inc

  dba Bushnell Family Practice

  • Rural Health Clinic/Center
  • Bushnell, FL
  • NPI 1255477360
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1669580668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31075 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027542",
            "telephone_number": "352-796-5303",
            "fax_number": "352-796-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80781",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253160700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP ID NUMBER",
            "identifier": "OS0006302",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Tibor Boros, DDS
• Rahul Reddy Borra, DO
• Joseph Borrelli Jr., MD
• Terrell B Bounds, MD
• Mahmoud Bourghli, MD
• Avetis Boyadzhyan, MD
• Bracken Chiropractic Health Center Inc.
• Thomas Paul Bracken, DC
• Arlene Marie Bradford, ARNP
• Ernest A Brady Jr.

• Family Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.

Verify at the official NPI Registry.