Kim E Bowman MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45580 Issued in MA

Legal business name

KIM E BOWMAN MD PC

Practice address

1180 Beacon St
Suite 3B
Brookline, MA 02446-3885

Phone

(617) 566-5600

Fax

(617) 277-3745

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kim E Bowman, MDNPI 1225075542

Title

President

Phone

(617) 566-5600

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Elise Bowman, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Brookline, MA
  • NPI 1225075542
  NPD (past) Authorized official

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730206673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 3B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-566-5600",
            "fax_number": "617-277-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE 3B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-566-5600",
            "fax_number": "617-277-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM E BOWMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-566-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "45580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9706020",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "KIM17749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "755268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "KIM17749",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kharaz
• Chander Kumar Khatri, M.D.
• Samia J Khoury, MD
• Aarti Khullar, PSYD
• Berdj Kiladjian, D.M.D.
• Hyung Joon Kim, D.D.S.
• Saechin Kim, MD PHD
• So Dam Kim, M.D.
• Kimberley Richardson, LLC
• Dorlan J. Kimbrough, MD

• Internal Medicine Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.