Organization Active NPI

Kent C. Bowden DO PLLC

  • Surgery Physician
  • Commerce, MI
National Provider Identifier
1801038740
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101016414 Issued in MI
Legal business name
KENT C. BOWDEN DO PLLC
Practice address
1 William Carls Drive
Huron Valley Sinai Hospital
Commerce, MI 48382
Phone
(248) 937-3300
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Kent C Bowden, D.O.
Title
Sole MBR
Phone
(517) 268-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5101016414 MI Primary

Addresses

Primary practice location

1 William Carls Drive
Huron Valley Sinai Hospital
Commerce, MI 48382

Mailing address

109 W Fletcher St
Alpena, MI 49707-2301
Phone (989) 354-0845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1801038740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W FLETCHER ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072301",
            "telephone_number": "989-354-0845",
            "fax_number": "989-354-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DRIVE",
            "address_2": "HURON VALLEY SINAI HOSPITAL",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-937-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT C. BOWDEN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "517-268-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.