Individual provider Active NPI

Todd Leroy Bowers, D.C.

  • Sports Physician Chiropractor
  • Downers Grove, IL
National Provider Identifier
1790848356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038-006662 Issued in IL
Practice address
1048 Ogden Ave
Ste 110
Downers Grove, IL 60515-2894
Phone
(630) 322-9522
Fax
(630) 322-9515
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038-006662 IL Primary

Addresses

Primary practice location

1048 Ogden Ave
Ste 110
Downers Grove, IL 60515-2894

Mailing address

1048 Ogden Ave
Ste 110
Downers Grove, IL 60515-2894
Phone (630) 322-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413001002 IL Practitioner - Chiropractic 5092752725 Practice locations: Downers Grove, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Ogden Ave
Suite 101
Downers Grove, IL 60515-2871
Phone (630) 322-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006662ILMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowers Chiropractic Center Current Accepting new patients
Synergy Rehabilitaion & Chiropractic Past Accepting new patients

Locations

1001 Ogden Ave
Ste 101
Downers Grove, IL 60515
Phone (630) 322-9522

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790848356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 OGDEN AVE",
            "address_2": "STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152894",
            "telephone_number": "630-322-9522",
            "fax_number": "630-322-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 OGDEN AVE",
            "address_2": "STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152894",
            "telephone_number": "630-322-9522",
            "fax_number": "630-322-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "TODD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-006662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.