DEREK THOMAS BOWDEN NPI 1295290914

NPI Information

NPI: 1295290914
Provider Name: DEREK THOMAS BOWDEN
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
11820 NW 131ST ST
PIEDMONT, OK
ZIP 73078
Phone: (405) 933-8651
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Derek Thomas Bowden is a peer specialist in Piedmont, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Derek Thomas Bowden NPI is 1295290914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11820 NW 131ST ST
PIEDMONT, OK
ZIP 73078-014
Phone: (405) 933-8651

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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