Jeremy Bradley Bowen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA8018 Issued in AL

Practice address

1045 Broadway Park Ste 107
Homewood, AL 35209-6256

Phone

(205) 573-6278

Fax

(205) 573-6280

NPI assigned

Nov 29, 2018

Last updated

Nov 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1942770128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BROADWAY PARK STE 107",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096256",
            "telephone_number": "205-573-6278",
            "fax_number": "205-573-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JEREMY",
        "middle_name": "BRADLEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA8018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francois Michel Blaudeau, M.D.
• Lakelyn Bohannon, MSN, CRNP, PMHNP-BC
• Vignir Thor Bollason, D.C.
• Emily Hillman Bolling, M.S. CCC-SLP
• Elizabeth Borcherding
• Austin Warren Bradford, DPT
• Donald Taylor Bragg, M.D.
• James Harrison Brannon, C.C.P.
• William Kevin Braswell
• Michael Eric Brewer Jr., M.D.

• Physical Therapy Assistant in Homewood, AL
• Providers in Homewood, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.