Active NPI
Kevin R Bowie
- Chiropractor
- Champaign, IL
National Provider Identifier
1861599862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009262
- Practice address
- 2106 S Neil St
Champaign, IL 61820-7504 - Phone
- (217) 359-7702
- Fax
- (217) 359-7702
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009262 | IL | Primary |
Addresses
Primary practice location
2106 S Neil St
Champaign, IL 61820-7504
Mailing address
2106 S Neil St
Champaign, IL 61820-7504
Phone (217) 359-7702
Other practice location 1
1704 S Neil St Ste B
Champaign, IL 61820-7214
Phone (217) 359-7702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01032012 | Other | IL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061229000015 | IL | Practitioner - Chiropractic | 2860492642 | Practice locations: Champaign, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2106 S Neil St
Champaign, IL 61820-7504
Phone (217) 359-7702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009262 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1861599862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207504",
"telephone_number": "217-359-7702",
"fax_number": "217-359-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207504",
"telephone_number": "217-359-7702",
"fax_number": "217-359-7702"
}
],
"practiceLocations": [
{
"address_1": "1704 S Neil St Ste B",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618207214",
"country_code": "US",
"telephone_number": "217-359-7702",
"fax_number": "217-359-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWIE",
"first_name": "KEVIN",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "01032012",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.