Individual provider Active NPI

Karl F Bowman Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Clayton, NC
National Provider Identifier
1891910790
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2018-02328 Issued in NC
Practice address
2076 Hwy. 42 West
Clayton, NC 27520-5302
Phone
(919) 763-1050
Fax
(919) 313-1276
NPI assigned
Apr 16, 2007
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2018-02328 NC
Orthopaedic Surgery Physician 207X00000X 010125194 VA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2018-02328 NC Primary

Addresses

Primary practice location

2076 Hwy. 42 West
Clayton, NC 27520-5302

Mailing address

5818 D Harbour View Blvd
Suite 150
Suffolk, VA 23435-3327
Phone (757) 215-1400

Other identifiers 1

IdentifierTypeStateIssuer
1891910790MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181126001066 NC Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9335396753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 934-1094

2196 Hwy 42 W
Clayton, NC 27520-8343
Phone (919) 220-5255

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

3100 Duraleigh Rd
Suite 100
Raleigh, NC 27612-8105
Phone (919) 788-8797

721 Tilghman Dr
Dunn, NC 28334-6066
Phone (910) 892-5635

7608 Purfoy Rd
Fuquay Varina, NC 27526-8930
Phone (919) 220-5255

7810 NC Hwy 751
Durham, NC 27713-6850
Phone (919) 544-7270

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

910 W Williams St
Apex, NC 27502-5201
Phone (919) 363-1957

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)34
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010125194VAMDOrthopaedic Surgery Physician
2018-02328NCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Orthopaedic Surgery CurrentSince Oct 15, 2018 Accepting new patients
Emergeortho PA CurrentSince Oct 15, 2018 Accepting new patients
Emergeortho, PA PastSince Mar 24, 2025 Accepting new patients
Wardell Orthopaedics PC Orthopaedic Surgery PastSince Aug 1, 2012 Accepting new patients

Locations

2196 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1050

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

100 Kellie Dr
Smithfield, NC 27577
Phone (919) 934-1094

Interoperability endpoints

  • Direct secure messaging: karl.bowman.1@847.direct.athenahealth.com
  • Direct secure messaging: kbowman@wardellortho.gwaydirect.com
  • Direct secure messaging: kbowman500200@direct.unc.nchie.net

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.

Hospital & facility affiliations 2

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1891910790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 D HARBOUR VIEW BLVD",
            "address_2": "SUITE 150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353327",
            "telephone_number": "757-215-1400",
            "fax_number": "757-215-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 HWY. 42 WEST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205302",
            "telephone_number": "919-763-1050",
            "fax_number": "919-313-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KARL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2018-02328",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "010125194",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "2018-02328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891910790",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.