Individual provider Active NPI

Leland Bowie

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1770906505
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
303756 Issued in OK
Practice address
2401 NW 39TH Street
Ste 103
Oklahoma City, OK 73112-0000
Phone
(405) 588-7641
Fax
(405) 601-9668
NPI assigned
Jan 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 303756 OK Primary

Addresses

Primary practice location

2401 NW 39TH Street
Ste 103
Oklahoma City, OK 73112-0000

Mailing address

2401 NW 39TH Street
Ste 103
Oklahoma City, OK 73112-0000
Phone (405) 588-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
303756OKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1770906505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NW 39TH STREET",
            "address_2": "STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731120000",
            "telephone_number": "405-588-7641",
            "fax_number": "405-601-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 39TH STREET",
            "address_2": "STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731120000",
            "telephone_number": "405-588-7641",
            "fax_number": "405-601-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "LELAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "303756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.