MR. BRYAN LEE STOWELL
NPI 1720460314
Nurse Practitioner - Pediatrics in South Bend, IN
About Mr. Bryan Lee Stowell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRYAN LEE STOWELL (NPI 1720460314) is an individual pediatrics provider in South Bend, Indiana, licensed in Indiana (28219432A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Bryan Lee Stowell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bryan Stowell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46617
- Reassigned Medicare billing, Indiana enrollment
- 211 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Bryan Stowell's NPI number?
The NPI number for Bryan Stowell is 1720460314. It was assigned to this individual provider in the NPPES registry on June 19, 2015.
Where is Bryan Stowell located?
Bryan Stowell practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 234-8161.
What is Bryan Stowell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Bryan Stowell enrolled in Medicare?
Yes. Bryan Stowell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bryan Stowell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Stowell reassigns Medicare benefits to The South Bend Clinic, LLC (South Bend, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Stowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bryan Stowell accept?
Health plans from CareSource list Bryan Stowell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bryan Stowell was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Bryan Lee Stowell · NPI 1720460314
Pediatrics physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1720460314 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 28219432A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 N EDDY ST, South Bend, IN 46617-2808
- **Phone:** (574) 234-8161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The South Bend Clinic, LLC (NPI 1487307492, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** March 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1720460314) · Data from the CMS NPPES public registry.