Dirk William Bowman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

57-011884 Issued in OH

Practice address

829 N Center Ave Ste 120
Gaylord, MI 49735-1598

Phone

(989) 731-7987

Fax

(989) 731-7983

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1972701951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 ROBERTS AVE APT 1",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358391",
            "telephone_number": "330-703-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 120",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351598",
            "telephone_number": "989-731-7987",
            "fax_number": "989-731-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "DIRK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57-011884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Sue Binko, LLMSW
• Christopher David Blanchet
• Jordan Christine Blatt
• Kristine E. Bobish, D.O.
• Alexandria Bowen
• Diana Marie Boyd, LLPC
• Boyne Country Urgent Care P.C.
• Michele Marie Bozzer, RPH
• Catherine Bragg, MSPT
• Michelle Renee Branda

• Surgery Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.