Individual provider Active NPI

Ronald Bowman, MD

  • Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1902849771
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14830 Issued in OR
Practice address
9445 SW Locust St
Portland, OR 97223-6634
Phone
(503) 352-1313
Fax
(503) 352-1314
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14830 OR Primary

Addresses

Primary practice location

9445 SW Locust St
Portland, OR 97223-6634

Mailing address

9445 SW Locust St
Portland, OR 97223-6634
Phone (503) 352-1313

Other identifiers 1

IdentifierTypeStateIssuer
1902849771OtherORNPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20051107000392 OR Practitioner - Orthopedic Surgery 2668490939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oregon Health Sciences University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9115 SW Oleson Rd
Suite 205
Portland, OR 97223-6877
Phone (503) 245-2420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14830ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Extremity Specialists LLC CurrentSince Mar 4, 2024 Accepting new patients
Northwest Extremity Specialists LLC CurrentSince Mar 4, 2024 Accepting new patients
Neuromusculoskeletal Center of the Cascades PC Orthopaedic Surgery Past Accepting new patients

Locations

9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 243-5710

9445 SW Locust St
Tigard, OR 97223
Phone (503) 352-1313

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1902849771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 SW LOCUST ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236634",
            "telephone_number": "503-352-1313",
            "fax_number": "503-352-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 SW LOCUST ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236634",
            "telephone_number": "503-352-1313",
            "fax_number": "503-352-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "14830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1902849771",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.