Kendra G. Bowman, MD, PHD
NPI 1811029507ActiveIndividual· Surgery· Boise, ID
Surgery (MD, PHD) in Boise, Idaho, licensed in WI, MA and MI, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1811029507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, PHD |
| Sole proprietor | No |
| NPI issued | Mar 9, 2007 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 62401-20 | WI |
| Surgery | 208600000X | 245014 | MA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301087754 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 245014 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (WI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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