Brian Clarence Bowick

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001903 Issued in GA

Practice address

2712 Chelwick Dr SW
Marietta, GA 30008-8172

Phone

(843) 819-5742

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1972799344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 COKER AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 CHELWICK DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088172",
            "telephone_number": "843-819-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWICK",
        "first_name": "BRIAN",
        "middle_name": "CLARENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Clare Bowers-Zamani, MD
• Isabella Marie Bowers, LAPC
• James Edward Bowers, DDS
• Aaron Bowersox, DO
• Lauren Elizabeth Bowersox
• Travis Bowles, MD
• Randall Lloyd Box, P.D.
• Lynn Boyd, PHARM.D.
• Michael Boyd, LMSW
• Kevin Lee Boyer, LPC

• Physical Therapy Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.