Benjamin Clemens Bowman

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

E1922057 Issued in TX

Practice address

1253 Makalapa Gate Rd BLDG 1407
Jbphh, HI 96860-4479

Phone

(334) 520-9557

NPI assigned

Jul 6, 2021

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1962073429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 PUAKALA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184445",
            "telephone_number": "334-520-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 MAKALAPA GATE RD BLDG 1407",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604479",
            "telephone_number": "334-520-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BENJAMIN",
        "middle_name": "CLEMENS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "E1922057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuree Bennett
• Jean Marie-Remonida Bennett, MD
• Rhonda Bennett, R.N.
• William P Boggess, D.M.D.
• Dustin Aldridge Bond, D.M.D.
• Michael Braud
• Timothy Peter Brender, PPCNP-BC
• Douglas Brook, IDMT
• Traci L. Brooks, RN, FNP-C
• James Bustamante

• All providers in Jbphh, HI
• Military Health Care Provider in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.