Active NPI
James Philip Bowles, DC
- Chiropractor
- Mt Washington, KY
National Provider Identifier
1902967102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4318
- Practice address
- 184 N Bardstown Rd
Mt Washington, KY 40047 - Phone
- (502) 538-4225
- Fax
- (502) 538-6776
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4318 | KY | Primary |
Addresses
Primary practice location
184 N Bardstown Rd
Mt Washington, KY 40047
Mailing address
PO Box 499
Mt Washington, KY 40047
Phone (502) 538-4225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6464123456002 | Medicaid | KY | |
| 10802437 | Other | KY | CAQH |
| 000000186603 | Other | KY | ANTHEM |
Other names 1
- J Philip Bowles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060120000493 | KY | Practitioner - Chiropractic | 2769406446 | Practice locations: Mt Washington, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
184 N Bardstown Rd
Mt Washington, KY 40047-7694
Phone (502) 538-4225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902967102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "40047",
"telephone_number": "502-538-4225",
"fax_number": "502-538-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 N BARDSTOWN RD",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "40047",
"telephone_number": "502-538-4225",
"fax_number": "502-538-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "JAMES",
"middle_name": "PHILIP",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6464123456002",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10802437",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000186603",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "BOWLES",
"middle_name": "PHILIP",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Mt Washington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.