DR. MITCHELL BOWMAN (MD) – Cardiovascular Disease Physician, NPI 1174984843

DR. MITCHELL BOWMAN (MD) is a healthcare provider. based in Jbsa-fort sam houston, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME154048 (FL). The NPI Number for DR. MITCHELL BOWMAN (MD) is 1174984843

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITCHELL BOWMAN (MD)
NPI
1174984843
Phone
Not provided
Address
3551 ROGER BROOKE DR INTERNAL MEDICINE RESIDENCY
Enumeration Date
9 March 2016
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8502671603
Graduation Year
2016 (10 years ago)
PAC ID
0547522427
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20221026001301
Address ID
FL325507228MI7800XWXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. MITCHELL BOWMAN (MD)

  • 3551 ROGER BROOKE DR INTERNAL MEDICINE RESIDENCY

    SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M

    JBSA-FORT SAM HOUSTON, TX 782344504

    Phone:

    Type: Mailing

  • 3551 ROGER BROOKE DR

    SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY

    JBSA-FORT SAM HOUSTON, TX 782344504

    Phone: (210) 292-5077

    Type: Location

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 7800 US HIGHWAY 98 W

    MIRAMAR BEACH, FL 325507228

    Phone: (850) 267-1603

    Type: Location

  • 307 BOATNER RD STE 114

    EGLIN AFB, FL 325421302

    Phone: (850) 883-8600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($98).

Total Amount

$244

General + Research + Ownership

Payments

12

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221026001301IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2121$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779491386View full group profile

Reviews

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Frequently asked questions

Can I verify DR. MITCHELL BOWMAN (MD) with an NPI only?
You can start verification with NPI 1174984843 for DR. MITCHELL BOWMAN (MD), then check state licensing separately.
Does the file indicate DR. MITCHELL BOWMAN (MD) is practicing under active NPI?
Directory data currently reports DR. MITCHELL BOWMAN (MD) as active.
What is DR. MITCHELL BOWMAN (MD)'s specialty?
The listing groups DR. MITCHELL BOWMAN (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. MITCHELL BOWMAN (MD) list a practice location?
Patients near Jbsa-Fort Sam Houston, Texas may find DR. MITCHELL BOWMAN (MD) in results; validate coverage separately.
Why does DR. MITCHELL BOWMAN (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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