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SHANE BOWMAN
NPI 1427645886
Student in an Organized Health Care Education/Training Program in Norwalk, CT

Active since December 30, 2020PECOS Enrolled
34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Jul 7, 2024, May 4, 2023 and 1 more (4 updates tracked since 2020).

About Shane Bowman NPPES

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

SHANE BOWMAN (NPI 1427645886) is an individual student in an organized health care education/training program in Norwalk, Connecticut, licensed in Connecticut (77626) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427645886
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE BOWMAN
Location Address34 MAPLE STNorwalk, CT 06850-3894
Mailing Address34 Maple StNorwalk, CT 06850-3894 · (203) 852-2000
Phone(203) 852-2000
Sole ProprietorNo
Enumeration DateDecember 30, 2020
Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1427645886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 77626
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.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 77626 (CT)
34 MAPLE ST, Norwalk, CT 06850
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Bowman 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.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

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 Shane Bowman's NPI number?

The NPI number for Shane Bowman is 1427645886. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Shane Bowman located?

Shane Bowman practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2000.

What is Shane Bowman's specialty?

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

Is Shane Bowman enrolled in Medicare?

Yes. Shane Bowman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Bowman was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.