Mark Bowman MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARK BOWMAN MD LLC

Practice address

15 82ND Dr Ste 100
Gladstone, OR 97027-2550

Phone

(503) 801-7800

Fax

(503) 656-8080

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Mark Randall Bowman, MD

Title

Owner, MD

Phone

(503) 801-7800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1932683331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-801-7800",
            "fax_number": "503-656-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-801-7800",
            "fax_number": "503-656-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971412313",
            "country_code": "US",
            "telephone_number": "503-801-7800",
            "fax_number": "503-656-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK BOWMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "503-801-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Gladstone, OR
• Providers in Gladstone, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.