NPIMap

Organization Active NPI

Bowling Green State University

Doing business as Student Health Service

  • Family Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1699707687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BOWLING GREEN STATE UNIVERSITY
Doing business as
Student Health Service
Practice address
Ridge Street
Bowling Green, OH 43403-0147
Phone
(419) 372-2271
Fax
(419) 372-8010
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Glenn Egelman, MDNPI 1689633984
Title
Director Student Health Service
Phone
(419) 372-1318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

Ridge Street
Bowling Green, OH 43403-0147

Mailing address

PO Box 5199
Abilene, TX 79608-5199
Phone (325) 437-8300

Other identifiers 1

IdentifierTypeStateIssuer
0614222MedicaidOH

Other names 1

  • Student Health Service Doing business as

National Provider Directory

National Provider Directory

Locations

200 Health Ctr
Bowling Green, OH 43403
Phone (419) 372-2515

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699707687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085199",
            "telephone_number": "325-437-8300",
            "fax_number": "325-437-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIDGE STREET",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030147",
            "telephone_number": "419-372-2271",
            "fax_number": "419-372-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGELMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DIRECTOR STUDENT HEALTH SERVICE",
        "authorized_official_telephone_number": "419-372-1318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614222",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.