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BOWMAN FAMILY MEDICINE CLINIC LLC NPI 1710425574


NPI Information

NPI: 1710425574
Provider Name: BOWMAN FAMILY MEDICINE CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D2126643

Address:
1007 GOULD DRIVE, BUILDING 3, SUITE 4
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 584-7319
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BOWMAN FAMILY MEDICINE CLINIC, LLC is a family medicine in Bossier City, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOWMAN FAMILY MEDICINE CLINIC, LLC NPI is 1710425574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1007 GOULD DRIVE, BUILDING 3, SUITE 4
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 584-7319
Fax: (318) 584-7322

The provider's authorized official is Corine Hardman Bowman .
The authorized official title is Sole Owner and has the following contact phone number (318) 464-8073.

The CLIA number assigned to this NPI record is 19D2126643 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2017 and was last updated on 4/5/2017.


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
1207Q00000XFamily Medicine023946LOUISIANAYes

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
1561221MEDICARE PINLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.