NPI 1396731006 · live from the CMS NPI Registry
John Theodore Bowman, M.D.
Ophthalmology in Bangor, ME. National Provider Identifier 1396731006, active.
NPI record
| NPI | 1396731006 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1 Ridgewood Dr, Bangor, ME 04401 |
| Practice phone | 207-945-6200 |
| Enumerated | September 27, 2005 |
| Last updated | May 16, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | E-12105 (AR) |
| Ophthalmology primary | 207W00000X | EL-05-010 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.