RUSSELL WILLIAM BOWMAN LAC
NPI 1154200863
Counselor - Professional in Phoenix, AZ

Active since August 27, 2025
11225 N 28TH DR STE D220C, PHOENIX, AZ 85029(480) 680-1240(480) 680-1245 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell William Bowman Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL WILLIAM BOWMAN LAC (NPI 1154200863) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LAC-23376) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1154200863
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRUSSELL WILLIAM BOWMANCredential: LAC
Location Address11225 N 28TH DR STE D220CPhoenix, AZ 85029-5697
Mailing Address1308 W 16th StTempe, AZ 85281-6211 · (614) 364-3794
Fax(480) 680-1245
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1154200863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LAC-23376
11225 N 28TH DR STE D220C, Phoenix, AZ 85029

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11225 N 28TH DR STE D220C
PHOENIX, AZ 85029
Social Worker (Clinical)
11225 N 28TH DR STE D220C
PHOENIX, AZ 85029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Bowman's NPI number?

The NPI number for Russell Bowman is 1154200863. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Russell Bowman located?

Russell Bowman practices at 11225 N 28th Dr Ste D220c, Phoenix, AZ 85029. The listed phone number is (480) 680-1240.

What is Russell Bowman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Russell Bowman was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.