CMS-1500 Box 24J / 33a • NPI
1376510073
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Y00000X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology
Box 32 Service Location & ZIP+4
614 E MAIN ST, RADFORD, VA, 24141-1818
✓ 9-Digit EDI 837 ZIP+4 (24141-1818)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376510073 (MICHAEL KEITH BOWMAN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376510073 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL KEITH BOWMAN, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: 207Y00000X (Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 614 E MAIN ST, RADFORD, VA, 24141-1818 |
| Practice Telephone / Fax | Tel: (540) 633-0776 |
| Administrative Mailing Address | 1722 PINE ST, MONTGOMERY, AL, 36106-1103 |
| Enumeration & Last Sync | Enumerated: 2006-03-02 | CMS Record Updated: 2022-01-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)
What Does Taxonomy Code 207Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL KEITH BOWMAN, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: AL | License: 25791 | Primary: Secondary |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: VA | License: 0101259607 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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