Douglas Robert Bowman, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15560 Issued in OH

Practice address

1229 Napoleon St
Fremont, OH 43420-2358

Phone

(419) 332-1303

Fax

(419) 332-0805

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720008477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 SWIFT CURRENT CT",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517624",
            "telephone_number": "419-878-8945",
            "fax_number": "419-332-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 NAPOLEON ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202358",
            "telephone_number": "419-332-1303",
            "fax_number": "419-332-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lynne Kathleen Boroff
• Mary F Bower, M.D.
• Jacqueline C Bowerman, LPCC
• Clarissa Renee Bowling
• Bonnie J Bowlus, PT
• Ashley Nicole Bradford
• Chelsea Bradford
• Stephanie D Brant, QMHS
• Stephanie Breault, FNP-C
• Trudy Louise Briggs, STNA

• All providers in Fremont, OH
• General Practice Dentistry in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.