Individual provider Active NPI

Adam S Bowman, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1992877203
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0007248 Issued in DE
Practice address
500 W 10TH St
(Connections Community Support Program)
Wilmington, DE 19801-1422
Phone
(302) 230-9102
Fax
(302) 984-3329
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C10007248 DE
Psychiatry Physician 2084P0800X C1-0007248 DE Primary

Addresses

Primary practice location

500 W 10TH St
(Connections Community Support Program)
Wilmington, DE 19801-1422

Mailing address

500 W 10TH St
(Connections Community Support Program)
Wilmington, DE 19801-1422
Phone (302) 230-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041027001188 DE Practitioner - Psychiatry 7315909835 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0007248DEMDPsychiatry Physician
C10007248DEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Health CurrentSince Mar 6, 2023 Accepting new patients

Locations

18068 Coastal Hwy
Lewes, DE 19958
Phone (302) 567-1500

1532 Savannah Rd
#A
Lewes, DE 19958
Phone (302) 268-8720

Interoperability endpoints

  • Direct secure messaging: adam.bowman.1@22424.direct.athenahealth.com

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspira Health 17 clinicians

Practice addresses (Care Compare)

18068 Coastal Hwy
Lewes, DE 19958-4901
Phone (302) 567-1500

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1992877203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 10TH ST",
            "address_2": "(CONNECTIONS COMMUNITY SUPPORT PROGRAM)",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011422",
            "telephone_number": "302-230-9102",
            "fax_number": "302-984-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 10TH ST",
            "address_2": "(CONNECTIONS COMMUNITY SUPPORT PROGRAM)",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011422",
            "telephone_number": "302-230-9102",
            "fax_number": "302-984-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DE",
            "license": "C10007248",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0007248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.