Jachob Bradley Bowlin, MBA, MSN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3018828 Issued in KY

Practice address

770 Hancock Ave
Corbin, KY 40701-2545

Phone

(606) 765-2896

NPI assigned

Sep 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Capital Anesthesia Solutions of Kentucky LLCGroup PAC ID 0446681548, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Capital Anesthesia Solutions of Kentucky LLC

  • Anesthesiology Physician
  • Somerset, KY
  • NPI 1023665882

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1821605767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 SOMERSET RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407419615",
            "telephone_number": "606-765-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 HANCOCK AVE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012545",
            "telephone_number": "606-765-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "JACHOB",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "MBA, MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3018828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Elise Booth, M.D.
• Esther Boram
• Emily Boss
• Cindy L Boswell, BS
• Gina Lori Bowlin, LCSW
• Carolyn Bowling
• Gabriela Bowling
• Jason Kelly Bowling, BA
• Joshua Lee Bowling, PHARMD
• Kaitlyn Nicole Bowling

• Certified Registered Nurse Anesthetist in Corbin, KY
• Providers in Corbin, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.