Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Ross Bowen, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1962513820

Dr. Jason Ross Bowen, DPM is a Podiatry in Salt Lake City, Utah. Graduated from California School of Podiatric Medicine in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Nevada.

Years since qualifying
23
Trained at
California School of Podiatric Medicine
Licensed in
AZ, CA, NV
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3710 Twinbrook St
Salt Lake City, UT 84109-3714
Phone: (801) 278-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0601 (NV)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 0616 (AZ)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E4715 (CA)

Record details

NPI number1962513820
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2003 (23 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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