Individual provider Active NPI

David Karl Bowden

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1881660884
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00044276 Issued in WA
Practice address
9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213
Phone
(253) 582-8900
Fax
(253) 756-2879
NPI assigned
Feb 28, 2006
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00044276 WA Primary

Addresses

Primary practice location

9601 Steilacoom Blvd SW
Tacoma, WA 98498-7213

Mailing address

PO Box 3378
Honolulu, HI 96801-3378
Phone (253) 582-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20220329001661 HI Practitioner - Psychiatry 1355230749 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044276WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health CurrentSince Mar 1, 2022 Accepting new patients
State of Hawaii, Department of Health Current Accepting new patients
State of Hawaii Department of Health Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Department of Social Dept of SHS Div of Instns Psychiatry Past Accepting new patients

Organizations & group practices 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1881660884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3378",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968013378",
            "telephone_number": "253-582-8900",
            "fax_number": "253-756-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 STEILACOOM BLVD SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984987213",
            "telephone_number": "253-582-8900",
            "fax_number": "253-756-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "DAVID",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00044276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.