NPIMap

Individual provider Active NPI

William McCormick Bowen, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1891055281
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2015-0021 Issued in NM
Practice address
5501 Herrera Dr Suite B
Christus St. Vincent Urgent Care Entrada Contenta
Santa Fe, NM 87507-2677
Phone
(505) 913-4180
Fax
(505) 913-4181
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 MD2015-0021 NM Primary

Addresses

Primary practice location

5501 Herrera Dr Suite B
Christus St. Vincent Urgent Care Entrada Contenta
Santa Fe, NM 87507-2677

Mailing address

5501 Herrera Dr Suite B
Christus St. Vincent Urgent Care Entrada Contenta
Santa Fe, NM 87507-2677
Phone (505) 913-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20150721000811 NM Practitioner - Family Practice 7810137551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
La Familia Medical CenterGroup PAC ID 4082601026, shared by 4 NPIs, 30 clinicians

Practice addresses (Care Compare)

1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Nov 5, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 5, 2024 Accepting new patients
La Familia Medical Center Family Medicine Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
St Vincent Hospital Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

Interoperability endpoints

  • Direct secure messaging: wbowen258044@direct.phs.org
  • Direct secure messaging: wbowen164940@christushealth.direct-ci.net

Organizations & group practices 5

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 4

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1891055281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 HERRERA DR SUITE B",
            "address_2": "CHRISTUS ST. VINCENT URGENT CARE ENTRADA CONTENTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072677",
            "telephone_number": "505-913-4180",
            "fax_number": "505-913-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HERRERA DR SUITE B",
            "address_2": "CHRISTUS ST. VINCENT URGENT CARE ENTRADA CONTENTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072677",
            "telephone_number": "505-913-4180",
            "fax_number": "505-913-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "WILLIAM",
        "middle_name": "MCCORMICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2015-0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.