Individual provider Active NPI

Israel Bowers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cortez, CO
National Provider Identifier
1841879376
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000940 Issued in CO
Practice address
2095 N Dolores Rd
Cortez, CO 81321-8924
Phone
(970) 564-8086
Fax
(970) 564-8087
NPI assigned
Apr 2, 2021
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 13994841-0501 UT
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000940 CO Primary

Addresses

Primary practice location

2095 N Dolores Rd
Cortez, CO 81321-8924

Mailing address

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Phone (801) 266-3113

Other practice location 1

16 E 300 S
Monticello, UT 84535-8002
Phone (435) 270-0271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240611002352 CO Practitioner - Podiatry 9638524051 Reassigns benefits to 1 organization
I20240612003460 UT Practitioner - Podiatry 9638524051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor G Wright PCGroup PAC ID 8426362450, 28 clinicians

Practice addresses (Care Compare)

2095 N Dolores Rd
Cortez, CO 81321-8924
Phone (970) 564-8086

836 S Angel St
Suite 102
Layton, UT 84041-3687
Phone (801) 266-3113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue199
Removal of nail tissue579
Removal or shaving of skin growth43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1546MAMDBehavioral Analyst
13994841-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Medical Group PC Foot & Ankle Surgery CurrentSince Jun 1, 2024 Accepting new patients
Taylor G Wright PC Foot & Ankle Surgery PastSince Feb 1, 2023 Accepting new patients
Taylor G Wright PC Foot & Ankle Surgery PastSince Mar 5, 2023 Accepting new patients

Locations

2095 N Dolores Rd
Cortez, CO 81321
Phone (970) 564-8086

270 E 8th Ave
Ste N102
Durango, CO 81301
Phone (970) 560-1773

27B Talisman Dr
Unit 2
Pagosa Springs, CO 81147
Phone (970) 903-9853

836 S Angel St
Ste 102
Layton, UT 84041
Phone (435) 291-1375

6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1841879376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 N DOLORES RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813218924",
            "telephone_number": "970-564-8086",
            "fax_number": "970-564-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 E 300 S",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "UT",
            "postal_code": "845358002",
            "country_code": "US",
            "telephone_number": "435-270-0271",
            "fax_number": "435-270-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "ISRAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "13994841-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.