NPIMap

Individual provider Active NPI

Theron Laneal Bowman II, DO

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1871080143
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T1303 Issued in TX
Practice address
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone
(817) 922-1770
NPI assigned
Apr 21, 2018
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T1303 TX Primary

Addresses

Primary practice location

1400 8TH Ave
Fort Worth, TX 76104-4110

Mailing address

2300 Olympia Dr Unit 270587
Flower Mound, TX 75027-0169
Phone (817) 223-6938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbowman833282@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002152 TX Practitioner - Internal Medicine 6406105881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

11468 Deer Valley Dr
Roanoke, TX 76262-2432
Phone (800) 577-1264

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1303TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 13, 2021 Accepting new patients
Meridian Health Partners PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 13, 2021 Accepting new patients
Care Talk Health FL PA CurrentSince Jun 1, 2025 Accepting new patients
Meridian Health Post Acute PLLC Internal Medicine CurrentSince Dec 21, 2025 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Solace Health Medical Group Inc CurrentSince Apr 15, 2025 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Vig Medical LLC Past Accepting new patients
Baylor Medical Center at Waxahachie Past Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

500 E Saint Johns Ave
Ste 2620
Austin, TX 78752
Phone (512) 960-4098

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • Direct secure messaging: tbowman833282@direct.sw.org

Organizations & group practices 11

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 5

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": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1871080143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OLYMPIA DR UNIT 270587",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750270169",
            "telephone_number": "817-223-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "THERON",
        "middle_name": "LANEAL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbowman833282@direct.sw.org",
            "affiliation": "N",
            "address_1": "1400 8th Ave Ste C770",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.