{"result_count":1,"results":[{"addresses":[{"address_1":"350 W THOMAS RD","address_2":"ATTN: BNI SURGICAL SUITE","address_purpose":"LOCATION","address_type":"DOM","city":"PHOENIX","country_code":"US","country_name":"United States","postal_code":"85013","state":"AZ","telephone_number":"602-406-3541"},{"address_1":"240 W THOMAS RD # 301","address_purpose":"MAILING","address_type":"DOM","city":"PHOENIX","country_code":"US","country_name":"United States","postal_code":"850134407","state":"AZ","telephone_number":"602-406-6238"}],"basic":{"certification_date":"2024-07-19","credential":"MD","enumeration_date":"2006-08-31","first_name":"GLEN","last_name":"BOWMAN","last_updated":"2024-07-19","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1157075172000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"100503208","issuer":null,"state":"NV"},{"code":"01","desc":"Other (non-Medicare)","identifier":"107028042101","issuer":"IHC","state":"UT"},{"code":"05","desc":"MEDICAID","identifier":"119647200","issuer":null,"state":"WY"},{"code":"01","desc":"Other (non-Medicare)","identifier":"1502954","issuer":"UMWA","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"2090168","issuer":"United Healthcare","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"77515","issuer":"PEHP","state":"UT"},{"code":"05","desc":"MEDICAID","identifier":"806868300","issuer":null,"state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"835388","issuer":"Healthy U","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"851001","issuer":"Deseret Mutual","state":"UT"},{"code":"05","desc":"MEDICAID","identifier":"858409","issuer":null,"state":"AZ"},{"code":"01","desc":"Other (non-Medicare)","identifier":"870545614BOW","issuer":"Educators Mutual","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"QM0000075886","issuer":"Altius","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"TPRA09326","issuer":"Molina","state":"UT"}],"last_updated_epoch":"1721421793000","number":"1922110238","other_names":[],"practiceLocations":[{"address_1":"1900 SULLIVAN AVE","address_purpose":"LOCATION","address_type":"DOM","city":"DALY CITY","country_code":"US","country_name":"United States","fax_number":"918-213-4399","postal_code":"940152200","state":"CA","telephone_number":"408-354-9254"}],"taxonomies":[{"code":"207L00000X","desc":"Anesthesiology","license":"G185046","primary":false,"state":"CA","taxonomy_group":""},{"code":"207L00000X","desc":"Anesthesiology","license":"319122-1205","primary":false,"state":"UT","taxonomy_group":""},{"code":"207L00000X","desc":"Anesthesiology","license":"73631","primary":true,"state":"AZ","taxonomy_group":""}]}]}