Provider Demographics
NPI:1730213018
Name:BOWEN, BRIAN SCOTT (LAC,CMT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:SCOTT
Last Name:BOWEN
Suffix:
Gender:M
Credentials:LAC,CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5191 S YOSEMITE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3302
Mailing Address - Country:US
Mailing Address - Phone:303-577-9977
Mailing Address - Fax:
Practice Address - Street 1:5191 S YOSEMITE ST
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3302
Practice Address - Country:US
Practice Address - Phone:303-577-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO806171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist