Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Bowman, PA-C

Individual provider Physician Assistant · NPI 1174019012

Kyle Bowman, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

235 S 33rd St
Philadelphia, PA 19104-6322
Phone: (717) 497-7025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (717) 497-7025

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C06996 (MD)

Record details

NPI number1174019012
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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