Organization Active NPI

Bowen Family Chiropractic Clinic Inc

  • Sports Physician Chiropractor
  • Jasper, AL
National Provider Identifier
1972536829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1073 Issued in AL
Legal business name
BOWEN FAMILY CHIROPRACTIC CLINIC INC
Practice address
405 N Airport Rd
Jasper, AL 35504-7533
Phone
(205) 221-3196
Fax
(205) 221-3101
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. C Renee Philpot-Bowen, D.C.NPI 1831132307
Title
Owner/
Phone
(205) 221-3196

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1073 AL Primary

Addresses

Primary practice location

405 N Airport Rd
Jasper, AL 35504-7533

Mailing address

405 N Airport Rd
Jasper, AL 35504-7533
Phone (205) 221-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060719000141 AL Part B Supplier - Clinic/Group Practice 5496768319 Receives reassigned benefits from 3 practitioners
Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Locations

405 N Airport Rd
Jasper, AL 35504
Phone (205) 221-3196

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972536829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047533",
            "telephone_number": "205-221-3196",
            "fax_number": "205-221-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047533",
            "telephone_number": "205-221-3196",
            "fax_number": "205-221-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN FAMILY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILPOT-BOWEN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/",
        "authorized_official_telephone_number": "205-221-3196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.