Active NPI
Stephen J Bowen Sr., NP
- Adult Health Nurse Practitioner
- East Falmouth, MA
National Provider Identifier
1992830707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 217099
- Practice address
- 37 Weatherglass LN
East Falmouth, MA 02536-6036 - Phone
- (781) 738-6023
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1942250436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217099 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Brockton, PC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 217099 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
37 Weatherglass LN
East Falmouth, MA 02536-6036
Mailing address
37 Weatherglass LN
East Falmouth, MA 02536-6036
Phone (781) 738-6023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992830707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WEATHERGLASS LN",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025366036",
"telephone_number": "781-738-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WEATHERGLASS LN",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025366036",
"telephone_number": "781-738-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "217099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.