Robert Earl Bowen, D.C.,

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

630 Issued in SC

Practice address

237 Barnwell Ave NW
Aiken, SC 29801-3903

Phone

(803) 642-5707

NPI assigned

Feb 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chino Valley Chiropractic Clinic

  • Sports Physician Chiropractor
  • Chino Valley, AZ
  • NPI 1477736759
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1700064136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 BARNWELL AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013903",
            "telephone_number": "803-642-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 BARNWELL AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013903",
            "telephone_number": "803-642-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1011",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "SC",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSEE",
            "identifier": "630",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENCE",
            "identifier": "1011",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0235340",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ameet Bosmia
• Jeffrey Stewart Boswell, CRNA
• Stephanie Andrea Botero, MD
• Ashley Bouknight Wingard
• Emily Bovier
• Jada Elise Bowers-Thompson, MCBS
• Christine Bowie
• Clifton Clark Boyd, O.D.
• Michael M Boyd, MD
• Kylah Brabson

• Nutrition Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Nutrition Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.