Individual provider Active NPI

Ryan Wayne Bowers, D.C.

  • Chiropractor
  • West Columbia, SC
National Provider Identifier
1679899488
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3550 Issued in SC
Practice address
103 Sum Mor Dr
West Columbia, SC 29169-4828
Phone
(803) 254-4699
Fax
(803) 851-1235
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3550 SC Primary

Addresses

Primary practice location

103 Sum Mor Dr
West Columbia, SC 29169-4828

Mailing address

PO Box 2632
Lexington, SC 29071-2632
Phone (843) 817-0242

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbowers@pivotalhealthandrehab.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000842 SC Practitioner - Chiropractic 6002096658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivotal Injury and Rehab IncGroup PAC ID 0244590370, 2 clinicians
Pivotal Health and Rehab LLCGroup PAC ID 1052841376, 4 clinicians

Practice addresses (Care Compare)

103 Sum Mor Dr
West Columbia, SC 29169-4828
Phone (803) 254-4699

120 Highland Ctr Dr
Suite 100
Columbia, SC 29203-9128
Phone (803) 728-6911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3550SCMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
RBX Diagnostics LLC CurrentSince Jan 19, 2025 Accepting new patients
Pivotal Health and Rehab LLC Chiropractor CurrentSince May 22, 2024 Accepting new patients
Pivotal Injury and Rehab Inc Chiropractor CurrentSince Dec 12, 2017 Accepting new patients

Locations

2627 Millwood Ave
Ste C
Columbia, SC 29205
Phone (803) 218-9886

120 Highland Center Dr
Ste 100
Columbia, SC 29203
Phone (803) 728-6911

120 Highland Center Dr
Columbia, SC 29203
Phone (803) 254-4699

103 Sum Mor Dr
West Columbia, SC 29169
Phone (803) 218-9886

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1679899488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2632",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290712632",
            "telephone_number": "843-817-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUM MOR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694828",
            "telephone_number": "803-254-4699",
            "fax_number": "803-851-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "RYAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbowers@pivotalhealthandrehab.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "103 Sum Mor Dr",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.