Organization Active NPI

Bowman Chiropractic P C

  • Clinic/Center
  • Salem, IL
National Provider Identifier
1962682856
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038-006573 Issued in IL
Legal business name
BOWMAN CHIROPRACTIC P C
Practice address
202 S Broadway Ave
Salem, IL 62881-1612
Phone
(618) 548-5252
Fax
(618) 548-5261
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Michael R Bowman, DCNPI 1881761286
Title
Owner
Phone
(618) 548-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038-006573 IL Primary

Addresses

Primary practice location

202 S Broadway Ave
Salem, IL 62881-1612

Mailing address

202 S Broadway Ave
Salem, IL 62881-1612
Phone (618) 548-5252

National Provider Directory

National Provider Directory

Locations

107 Shiloh Dr
#B
Mount Vernon, IL 62864
Phone (618) 242-2440

202 S Broadway Ave
Salem, IL 62881
Phone (618) 548-5252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1962682856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811612",
            "telephone_number": "618-548-5252",
            "fax_number": "618-548-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811612",
            "telephone_number": "618-548-5252",
            "fax_number": "618-548-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWMAN CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-548-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038-006573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.