Individual provider Active NPI

William Barrett Bowlin, MD

  • Orthopaedic Surgery Physician
  • San Angelo, TX
National Provider Identifier
1982018503
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
S6365 Issued in TX
Practice address
2237 S Jackson St
San Angelo, TX 76904-5131
Phone
(325) 747-2292
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30709 OK
Orthopaedic Surgery Physician 207X00000X S6365 TX Primary
Orthopaedic Surgery Physician 207X00000X 162013 CA
Orthopaedic Surgery Physician 207X00000X 18713 NV

Addresses

Primary practice location

2237 S Jackson St
San Angelo, TX 76904-5131

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191202001432 CA Practitioner - Orthopedic Surgery 7618277112 Reassigns benefits to 1 organization
I20200522000901 TX Practitioner - Orthopedic Surgery 7618277112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

2237 S Jackson St
San Angelo, TX 76903
Phone (325) 747-1511

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
  • Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162013CAMDOrthopaedic Surgery Physician
18713NVMDOrthopaedic Surgery Physician
30709OKMDOrthopaedic Surgery Physician
S6365TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince Jun 1, 2020 Accepting new patients
Shannon Clinic Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. Orthopaedic Surgery CurrentSince Sep 30, 2019 Accepting new patients

Locations

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

2237 S Jackson St
San Angelo, TX 76904
Phone (325) 481-2257

Interoperability endpoints

  • Direct secure messaging: bbowlin31001@shannonhealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1982018503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 S JACKSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045131",
            "telephone_number": "325-747-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "WILLIAM",
        "middle_name": "BARRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "30709",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "S6365",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "162013",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "18713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.