DR. JASON ROSS BOWEN DPM
NPI 1962513820
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
3710 TWINBROOK ST, SALT LAKE CITY, UT 84109(801) 278-6603 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jason Ross Bowen Dpm NPPES

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

DR. JASON ROSS BOWEN DPM (NPI 1962513820) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Nevada (0601) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1962513820
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JASON ROSS BOWENCredential: DPM
Location Address3710 TWINBROOK STSalt Lake City, UT 84109-3714
Mailing Address3710 Twinbrook StSalt Lake City, UT 84109-3714 · (801) 278-6603
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2003
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1962513820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in NV · 0601 Licensed in AZ · 0616 Licensed in CA · E4715
3710 TWINBROOK ST, Salt Lake City, UT 84109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Ross Bowen Dpm 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.

PECOS PAC ID6901908474
PECOS Enrollment IDI20080620000316
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962513820, enumerated as an "individual" on August 31, 2006.

The provider is located at 3710 TWINBROOK ST SALT LAKE CITY, UT 84109 and the phone number is (801) 278-6603.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.