Brooke Autumn Bowman, MPT

Individual provider Active NPI Physical Therapist · Columbia, SC

NPI 1831892470 · NPPES record last updated Apr 3, 2026

Key facts

NPI
1831892470
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5278 (SC)
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 256-4107
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midlands Orthopaedics and Neurosurgery PA (41 clinicians)

Practice addresses (Care Compare)

1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230410001406 SC Practitioner - Physical Therapist in Private Practice 7012382823 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5278SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Orthopaedics and Neurosurgery, PA Current
since Nov 18, 2025
Accepting new patients
Living Your Best Life Health Coaching Current Accepting new patients
Midlands Orthopaedics and Neurosurgery PA Current
since Nov 18, 2025
Accepting new patients

Locations

1910 Blanding St
Columbia, SC 29201
Phone (803) 253-6721

1013 Lake Murray Blvd
Irmo, SC 29063
Phone (803) 732-5887

109 Park Place Ct
Lexington, SC 29072
Phone (803) 933-6784

Interoperability endpoints

  • Direct secure messaging: brooke.bowman.1@5499.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5278 SC Yes

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

915 Hook Ave
West Columbia, SC 29169-5332
Phone (803) 926-8600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2026.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1831892470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HOOK AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695332",
            "telephone_number": "803-926-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BROOKE",
        "middle_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

All providers in Columbia, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.