Individual provider Active NPI

Ulysses S Bowler Jr., MD

  • Internal Medicine Physician
  • Fort Defiance, AZ
National Provider Identifier
1942290788
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13177 Issued in OK
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8000
NPI assigned
Oct 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 13177 OK
Internal Medicine Physician 207R00000X 13177 OK Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Other practice location 1

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447
Phone (918) 794-3536

Other identifiers 2

IdentifierTypeStateIssuer
100254220AMedicaidOK
100254220CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051012000876 OK Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 2163447731 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6447
Phone (918) 794-3536

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106-6459

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13177OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gamble Family Medical Practice CurrentSince Feb 3, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 1, 2018 Accepting new patients
Creek Nation Hospital & Clinics Internal Medicine Current Accepting new patients
A&M Healthcare Clinic CurrentSince Feb 14, 2024 Accepting new patients
Tulsa Hospitalists Inc Internal Medicine CurrentSince Jun 12, 2018 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 1, 2018 Accepting new patients
Thi Specialists LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Sooner Inpatient Services LLC Internal Medicine Past Accepting new patients
McAlester Regional Hospitalist Past Accepting new patients
McAlester Regional Health Center Past Accepting new patients
Eufaula Medicine PLLC Past Accepting new patients
Morton Comprehensive Health Services, Inc Past Accepting new patients
Green Country Infectious Disease PC Past Accepting new patients
Three Forks Emergency Physicians Past Accepting new patients

Locations

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

1145 S Utica Ave
Ste 1105
Tulsa, OK 74104
Phone (918) 579-5724

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856

3606 N Martin Luther King Jr Blvd
Tulsa, OK 74106
Phone (918) 728-8512

4134 S Harvard Ave
Ste B3
Tulsa, OK 74135
Phone (918) 442-2236

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17718/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23867/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ulysses.bowler.1@17718.direct.athenahealth.com
  • Direct secure messaging: ulysses.bowler.1@23867.direct.athenahealth.com
  • Direct secure messaging: ulysses.bowler@gfmp-ok.direct.office.nextgen.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942290788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 N Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741066447",
            "country_code": "US",
            "telephone_number": "918-794-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLER",
        "first_name": "ULYSSES",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "13177",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254220A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254220C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.