Dr Bruce A Fowler P C
NPI 1992903363ActiveOrganization· Psychologist, Clinical· Grand Rapids, MI
Psychologist, Clinical in Grand Rapids, Michigan, registered in NPPES in July 2007. The authorized official on file is Bruce Allen Fowler, PSY.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992903363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2007 |
| Last updated in NPPES | May 16, 2024 |
| Certified by provider | May 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301006137 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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