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

Mr. Bryan Lee Stowell

Individual provider Pediatric Nurse Practitioner · NPI 1720460314

Mr. Bryan Lee Stowell is a Nurse Practitioner in South Bend, Indiana. Graduated from Vanderbilt University School of Medicine in 2015, 11 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Trained at
Vanderbilt University School of Medicine
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 234-8161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 28219432A (IN)

Record details

NPI number1720460314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend