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Deactivated NPI 1124150693 Deactivated / Inactive NPI Male Practitioner

Michael Lee Bowman , OPA-C

Physician Assistant - Surgical • Ft Worth, TX

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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, Michael Bowman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 11, 2007
NPI Deactivation Date May 01, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Michael Bowman, OPA-C was a registered Physician Assistant - Surgical practicing in Ft Worth, TX. Throughout an active medical career spanning 17 years, Michael Bowman provided care at the practice location at 126 N BOYCE LN until profile deactivation on 2024-05-01.

Practice Location & Contact Primary Location

Practice Address

126 N Boyce Ln

Ft Worth, TX 761089656

Telephone 8174489022
Fax 8174489092

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Ft Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Ft Worth, TX (1367 Statewide)

Telehealth Adoption Rate
0.0% 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 - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License TX OPA-C #1000 NBCOPA

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 126 N BOYCE LN, FT WORTH, TX 761089656 (Tel: 8174489022)

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Updated Business Mailing Address July 08, 2007

Registered at 126 N BOYCE LN, FT WORTH, TX 761089656 (Tel: 8174489022)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BOWMAN, OPA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #OPA-C #1000 NBCOPA in TX)

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Initial NPI Registration & Enumeration March 11, 2007

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: 1124150693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2007
Last Update: July 08, 2007
Deactivation Date: May 01, 2024

Mailing Address

126 N Boyce Ln

Ft Worth, TX 761089656

Phone: 8174489022

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

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