NPIMap

Individual provider Active NPI

David P Gowman, DO

  • Cardiovascular Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1710967658
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101010938 Issued in MI
Practice address
28080 Grand River Ave Ste 306N
Farmington Hills, MI 48336-5966
Phone
(947) 521-4771
Fax
(248) 473-4772
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101010938 MI Primary

Addresses

Primary practice location

28080 Grand River Ave Ste 306N
Farmington Hills, MI 48336-5966

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other identifiers 1

IdentifierTypeStateIssuer
4622869-11MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgowman29319@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000885 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789661752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

28080 Grand River Ave
Suite 306N
Farmington Hills, MI 48336-5966
Phone (947) 521-4771

28100 Grand River Ave
Farmington Hills, MI 48336-5970

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (947) 523-4410

39475 Lewis Dr
Novi, MI 48377-2977

400 N Wayne Rd
Michigan Family Physicians
Westland, MI 48185-3628
Phone (734) 522-7000

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 17, 2018 Accepting new patients
Envision Medical Group PLLC CurrentSince Sep 20, 2017 Accepting new patients
Envision Medical Group PLLC Cardiovascular Disease CurrentSince Sep 20, 2017 Accepting new patients
VMD Primary Providers Eastern Michigan, PC Internal Medicine CurrentSince Jan 29, 2024 Accepting new patients
Progressive Health Care, P.C. Internal Medicine CurrentSince Feb 15, 2013 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients
Randall a. Bickle, DO., PC Past Accepting new patients
Personal Health Care, P.C. Internal Medicine Past Accepting new patients
Park Family Health Care, P.C. PastSince May 1, 2020 Accepting new patients
Regina Simone DO PC PastSince Jan 6, 2006 Accepting new patients
Botsford General Hospital Past Accepting new patients
NDS Radiology Inc. Internal Medicine PastSince Aug 14, 2022 Accepting new patients

Locations

1949 W 12 Mile Rd
Ste Ll
Berkley, MI 48072
Phone (248) 551-0497

23800 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 274-8181

28080 Grand River Ave
Ste 306N
Farmington Hills, MI 48336
Phone (947) 521-4771

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28080 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 471-8982

17800 Newburgh Rd
Ste 103
Livonia, MI 48152
Phone (734) 464-9540

29911 6 Mile Rd
Livonia, MI 48152
Phone (734) 513-1600

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

29409 Haggerty Rd
Ste 200
Novi, MI 48377

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

29409 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 471-0675

29409 Haggerty Rd
Novi, MI 48377
Phone (248) 471-0675

39475 Lewis Dr
Ste 200
Novi, MI 48377
Phone (248) 471-0675

12660 10 Mile Rd
Ste C
South Lyon, MI 48178
Phone (248) 270-8081

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

22021 Ecorse Rd
Taylor, MI 48180
Phone (313) 291-4444

400 N Wayne Rd
Westland, MI 48185
Phone (734) 522-7000

Interoperability endpoints

  • Direct secure messaging: david.gowman.1@21803.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1710967658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE STE 306N",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "947-521-4771",
            "fax_number": "248-473-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWMAN",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101010938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622869-11",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgowman29319@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28080 Grand River Ave Ste 306N",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.