John Michael Bowman, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Hancock, MI
NPI 1760423370 · NPPES record last updated Sep 29, 2010
Key facts
- NPI
- 1760423370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 40331 (CO)
- Practice address
- 500 Campus Drive
Hancock, MI 49930-1569 - Phone
- (906) 463-1040
- Fax
- (906) 483-1043
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 7, 2024 through Oct 7, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40331 | CO | MD | Orthopaedic Surgery Physician |
| 4945 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jmbmd2 LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Diversey Medical Center SC | Past | Accepting new patients | |
| Elwood Paul Reid MD Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Michael D. Landau, M.D., Professional Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 40331 | CO | Yes |
Addresses
Primary practice location
500 Campus Drive
Hancock, MI 49930-1569
Mailing address
500 Campus Drive
Hancock, MI 49930-1569
Phone (906) 463-1040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36620360 | Medicaid | CO |
Other providers in Hancock, MI
- Shari Billeck
- Gabrielle Nycole Blevins
- Samantha Lucchesi Boatman
- Andrea Kay Bouman
- Jennifer Katherine Bow
- Austin Bramwell
- Brian L Brant
- Kayrissa Leigh Brewster
- Whitney J Brey
- Pamela Brown
All providers in Hancock, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.