DR BRUCE A FOWLER P C
NPI 1992903363
Psychologist - Clinical in Grand Rapids, MI

Q: What is Dr Bruce A Fowler P C's NPI number?

The NPI number for Dr Bruce A Fowler P C is 1992903363. It was assigned to this organization in the NPPES registry on July 6, 2007.

Q: What is Dr Bruce A Fowler P C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 06, 2007

2090 CELEBRATION DR NE, SUITE 212, GRAND RAPIDS, MI 49525(616) 450-4601(616) 608-0108 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Feb 13, 2017, Feb 8, 2017 (3 updates tracked since 2017).

On this page

About Dr Bruce A Fowler P C NPPES

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

DR BRUCE A FOWLER P C (NPI 1992903363) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since July 2007. The organization lists Bruce Allen Fowler, President, as its authorized official.

NPPES Registry Identity

NPI1992903363

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDR BRUCE A FOWLER P C

Location Address2090 CELEBRATION DR NE, SUITE 212Grand Rapids, MI 49525-9200

Mailing Address2090 Celebration Dr Ne, Suite 212Grand Rapids, MI 49525-9200 · (616) 450-4601 · Fax (616) 608-0108

Phone(616) 450-4601

Fax(616) 608-0108

Organization SubpartNo

Authorized OfficialBruce Allen FowlerPresident · (616) 450-4601

Enumeration DateJuly 6, 2007

Last NPPES UpdateMay 16, 20243 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1992903363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301006137

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2090 CELEBRATION DR NE, Grand Rapids, MI 49525

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Bruce A Fowler P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Bruce A Fowler P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Fowler, PSY.D.

Clinical Psychologist

NPI 1881792497

2090 CELEBRATION DR NE SUITE 212
Grand Rapids, MI 49525

(616) 450-4601

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr Bruce A Fowler P C's NPI number?

The NPI number for Dr Bruce A Fowler P C is 1992903363. It was assigned to this organization in the NPPES registry on July 6, 2007.

Where is Dr Bruce A Fowler P C located?

Dr Bruce A Fowler P C is located at 2090 Celebration Dr NE Suite 212, Grand Rapids, MI 49525. The listed phone number is (616) 450-4601.

What is Dr Bruce A Fowler P C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dr Bruce A Fowler P C enrolled in Medicare?

Yes. Dr Bruce A Fowler P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Bruce A Fowler P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr Bruce A Fowler P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr Bruce A Fowler P C accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dr Bruce A Fowler P C 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 Dr Bruce A Fowler P C was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.