Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1851303804 Deactivated / Inactive NPI Male Practitioner

Stephen J. Bowman , PA

Physician Assistant • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Bowman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2006
NPI Deactivation Date March 13, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Stephen Bowman, PA was a registered Physician Assistant practicing in Modesto, CA. Throughout an active medical career spanning 18 years, Stephen Bowman provided care at the practice location at 4707 GREENLEAF CT until profile deactivation on 2024-03-13.

Practice Location & Contact Primary Location

Practice Address

4707 Greenleaf Ct

Modesto, CA 953568733

Telephone 2093381550
Fax 2098469372
Associated Practice Facility / Clinic
🏢 Greenleaf Management Facility NPI 1619223062

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA11908

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Clair Pettinger , MD

Emergency Medicine

NPI 1487662631

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated March 13, 2024

Record deactivated on March 13, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2024

Physician Assistant (License #PA11908 in CA)

NPI Profile Active May 22, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2014

Registered at 4707 GREENLEAF CT, MODESTO, CA 953568733 (Tel: 2093381550)

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Updated Business Mailing Address May 22, 2014

Registered at 4707 GREENLEAF CT, MODESTO, CA 953568733 (Tel: 2093381550)

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Provider Name / Credentials Updated May 22, 2014

Recorded as STEPHEN BOWMAN, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2014

Physician Assistant (License #PA11908 in CA)

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Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851303804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: May 22, 2014
Deactivation Date: March 13, 2024

Mailing Address

4707 Greenleaf Ct

Modesto, CA 953568733

Phone: 2093381550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.