KENNETH DUANE BOWMAN M.D. NPI 1346278835

NPI Information

NPI: 1346278835
Provider Name: KENNETH DUANE BOWMAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 595-1301
Get Directions

Kenneth Duane Bowman, M.D. is a diagnostic radiology radiology in Eden Prairie, MN with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kenneth Duane Bowman, M.D. NPI is 1346278835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN
ZIP 55344-349
Phone: (952) 595-1301
Fax: (612) 294-4903

The NPI 1346278835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 10/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01057766	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64106941	MEDICAID	KENTUCKY
2	P00764115	OTHER	INDIANA	RAILROAD MEDICARE
3	063182	OTHER	INDIANA	SIHO
4	P00242551	OTHER		MEDICARE RAILROAD
5	200523120	MEDICAID	INDIANA
6	000000371886	OTHER	INDIANA	ANTHEM BCBS
7	P00632696	OTHER	INDIANA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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