Individual provider Active NPI

Albert B. Bowman, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1861491268
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D3161 Issued in TX
Practice address
1930 El Dorado Blvd
Houston, TX 77062-3621
Phone
(281) 488-0082
NPI assigned
Jul 18, 2005
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D3161 TX Primary

Addresses

Primary practice location

1930 El Dorado Blvd
Houston, TX 77062-3621

Mailing address

1930 El Dorado Blvd
Houston, TX 77062-3621

Other identifiers 1

IdentifierTypeStateIssuer
C13660OtherTXUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001543 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4284932229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D3161TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman Medical Group, PLLC Family Medicine Past Accepting new patients
Texas Gulf Coast Medical System, Inc Family Medicine PastSince Jan 1, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1861491268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 EL DORADO BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770623621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 EL DORADO BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770623621",
            "telephone_number": "281-488-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ALBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D3161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C13660",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.