Individual provider Active NPI

Julie Bowerman, CNM

  • Advanced Practice Midwife
  • Enfield, CT
National Provider Identifier
1770567281
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000219 Issued in CT
Practice address
139 Hazard Ave
BLDG 3, Unit 10
Enfield, CT 06082-4585
Phone
(860) 763-4337
Fax
(860) 763-6458
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 000219 CT
Advanced Practice Midwife 367A00000X 000219 CT Primary

Addresses

Primary practice location

139 Hazard Ave
BLDG 3, Unit 10
Enfield, CT 06082-4585

Mailing address

139 Hazard Ave
BLDG 3, Unit 10
Enfield, CT 06082-4585
Phone (860) 763-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000259 CT Practitioner - Certified Nurse Midwife (CNM) 0446213011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smita Bhagat M.D., LLCGroup PAC ID 8628030418, 2 clinicians

Practice addresses (Care Compare)

139 Hazard Ave
Suite 3
Enfield, CT 06082-4585
Phone (860) 763-4337

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000219CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Smita Bhagat M.D., LLC CurrentSince Jun 7, 2002 Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

139 Hazard Ave
Bldg 3
Enfield, CT 06082
Phone (860) 763-4337

139 Hazard Ave
Ste 10
Enfield, CT 06082

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1770567281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE",
            "address_2": "BLDG 3, UNIT 10",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824585",
            "telephone_number": "860-763-4337",
            "fax_number": "860-763-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE",
            "address_2": "BLDG 3, UNIT 10",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824585",
            "telephone_number": "860-763-4337",
            "fax_number": "860-763-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMAN",
        "first_name": "JULIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "000219",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.