Individual provider Active NPI

Jeffrey Earl Bowers, DC

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1689711798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001385 Issued in VA
Practice address
125 Olde Greenwich Dr Suite 175
Fredericksburg, VA 22408
Phone
(540) 710-7272
Fax
(540) 710-1552
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001385 VA Primary

Addresses

Primary practice location

125 Olde Greenwich Dr Suite 175
Fredericksburg, VA 22408

Mailing address

125 Olde Greenwich Dr Suite 175
Fredericksburg, VA 22408
Phone (540) 710-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000849 VA Practitioner - Chiropractic 7315927985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Olde Greenwich Dr
Suite 175
Fredericksburg, VA 22408-4005
Phone (540) 710-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104001385VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowers Family Chiropractic PC Chiropractor CurrentSince Jul 15, 1999 Accepting new patients
Milestone Chiropractic Centre, LTD Chiropractor PastSince Jul 15, 1999 Accepting new patients

Locations

10687 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 710-7272

125 Olde Greenwich Dr
Ste 175
Fredericksburg, VA 22408
Phone (540) 656-2885

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689711798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR SUITE 175",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-710-7272",
            "fax_number": "540-710-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR SUITE 175",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-710-7272",
            "fax_number": "540-710-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "JEFFREY",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.