Brent W Bowman

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

H-256 Issued in ID

Practice address

130 Mill Rd
Horseshoe Bend, ID 83629-5103

Phone

(208) 793-3115

Fax

(208) 793-3321

NPI assigned

Feb 4, 2007

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hearing & Communication Technology Inc

  • Audiologist
  • Horseshoe Bend, ID
  • NPI 1225371263
  Authorized official Same address or phone

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700924263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MILL RD",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836295103",
            "telephone_number": "208-793-3115",
            "fax_number": "208-793-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MILL RD",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836295103",
            "telephone_number": "208-793-3115",
            "fax_number": "208-793-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRENT",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ID",
            "license": "H-256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "AU555",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayle Bonzer-Fry, PT
• City of Horseshoe Bend (City of Horseshoe Bend Ambulance)
• Julie Ann Forrest
• Gem Rehabilitation Services, Inc. (Payette River Physical Therapy)
• Hearing & Communication Technology Inc
• Horseshoe Bend Family Dentistry LLC

• Audiologist-Hearing Aid Fitter in Horseshoe Bend, ID
• Providers in Horseshoe Bend, ID by specialty
• Audiologist-Hearing Aid Fitter in Idaho

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.