Bowman Family Medicine Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023946 Issued in LA

Legal business name

BOWMAN FAMILY MEDICINE CLINIC, LLC

Practice address

1007 Gould Drive, Building 3, Suite 4
Bossier City, LA 71111

Phone

(318) 584-7319

Fax

(318) 584-7322

NPI assigned

Feb 1, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corine Hardman Bowman, MDNPI 1841241007

Title

Sole Owner

Phone

(318) 464-8073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Corine H. Bowman, MD

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1841241007
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1710425574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52364",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352364",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOULD DRIVE, BUILDING 3, SUITE 4",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-584-7319",
            "fax_number": "318-584-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWMAN FAMILY MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "CORINE",
        "authorized_official_middle_name": "HARDMAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "318-464-8073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bossier Specialty Hospital ,LLC
• Bossier Specialty Hospital LLC
• Bossier Surgical Associates Apmc
• La Tisha P. Bowie, PHARM D
• Jonathan Bowling
• Corine H. Bowman, MD
• Willie Bowman, COOK
• Boyd Ark-la-Tex Nemt, LLC
• Boyd Family Practice LLC
• Boyd Transportation LLC

• Family Medicine Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.