MEDICARE: STEPHEN DOUGLAS BOWMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	287	OH

General Provider Information

NPI Number	:	1033638275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN DOUGLAS BOWMAN

Provider Business Mailing Address
First Line	:	1115 FARLOW ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-4337
Country	:	US
Telephone Number	:	937-536-2764
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 FARLOW ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-4337
Country	:	US
Telephone Number	:	937-536-2764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1235484866 — DR. CARLOS ERNESTO NOLASCO MORALES M.D.
Practice Location Address:

2317 S BATES AVE
SPRINGFIELD, IL
62704-4337

Practice Phone: 866-477-7472
Practice Fax: 217-717-2268

1184235905 — NOLASCO MEDICAL GROUP, PLLC
Practice Location Address:

2317 S BATES AVE
SPRINGFIELD, IL
62704-4337

Practice Phone: 866-477-7472
Practice Fax: 217-717-2268

1235132135 — DR. JERRY KEITH SHELL MD
Practice Location Address:

2254 OLYMPIC ST
SPRINGFIELD, OH
45503-2737

Practice Phone: 937-399-8287
Practice Fax: 937-399-1670

1588668081 — DR. DENNIS O ROARK OD
Practice Location Address:

1674 N LIMESTONE ST
SPRINGFIELD, OH
45503-2652

Practice Phone: 937-399-4101
Practice Fax: 937-399-2346

1437153814 — PATRICK R DAWSON OD
Practice Location Address:

1674 N LIMESTONE ST
SPRINGFIELD, OH
45503-2652

Practice Phone: 937-399-4101
Practice Fax: 937-399-2346

Directions to “ STEPHEN DOUGLAS BOWMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.