KEEGAN FREDERICK BOWERS
NPI 1417515883
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 31, 2019PECOS Enrolled
4610 X ST, SACRAMENTO, CA 95817(530) 417-6277 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keegan Frederick Bowers NPPES

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

KEEGAN FREDERICK BOWERS (NPI 1417515883) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417515883
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEEGAN FREDERICK BOWERS
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200 · (530) 417-6277
Sole ProprietorNo
Enumeration DateMay 31, 2019
NPI 1417515883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4610 X ST, Sacramento, CA 95817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keegan Frederick Bowers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Specialist
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817

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 Keegan Bowers's NPI number?

The NPI number for Keegan Bowers is 1417515883. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Keegan Bowers located?

Keegan Bowers practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (530) 417-6277.

What is Keegan Bowers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keegan Bowers enrolled in Medicare?

Yes. Keegan Bowers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keegan Bowers was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.