Bovenmyer Dermatology PC
NPI 1477621761 · Dermatology Physician · Davenport, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bovenmyer Dermatology PC is a Dermatology Physician organization in Davenport, IA (NPI 1477621761).
Provider details
- NPI number
- 1477621761
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Bovenmyer, President(563) 359-1671
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-03
- Last updated
- 2008-10-01
Frequently asked questions
- What is Bovenmyer Dermatology PC's NPI number?
- Bovenmyer Dermatology PC's National Provider Identifier (NPI) is 1477621761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bovenmyer Dermatology PC?
- Bovenmyer Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Bovenmyer Dermatology PC located?
- Bovenmyer Dermatology PC's practice location on file with NPPES is 3319 Spring St, Davenport, IA 52807-2125.
- What is Bovenmyer Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Bovenmyer Dermatology PC is (563) 359-1671.
- Does Bovenmyer Dermatology PC accept Medicare?
- Bovenmyer Dermatology PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bovenmyer Dermatology PC?
- The authorized official listed on Bovenmyer Dermatology PC's NPPES record is John Bovenmyer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bovenmyer Dermatology PC's NPI active?
- Yes — Bovenmyer Dermatology PC's NPI (1477621761) is active in the NPPES registry as of the last update on 2008-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.