MEDICARE: REBECCA ANNE SPOERRI-BOWMAN D.O.

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	207Q00000X	Family Medicine Physician	235476	MA

General Provider Information

NPI Number	:	1316114994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANNE SPOERRI-BOWMAN D.O.

Provider Business Mailing Address
First Line	:	955 MAIN ST STE 305
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-435-8004
Fax Number	:	781-205-2003

Provider Business Practice Location Address
First Line	:	955 MAIN ST STE 305
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-435-8004
Fax Number	:	781-205-2003

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	09/24/2025

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