Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Dallis Mark Bowditch, M.D.

Family Medicine Physician in Logansport, IN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790788255

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Registry record

Entity type Individual (Type 1)

Name Dr. Dallis Mark Bowditch

Credential M.D.

Sex Male

Practice address 1201 Michigan Ave, Suite 140, Logansport, IN, 46947

Phone (574) 753-1462

Fax (574) 753-1465

Enumeration date May 27, 2005

Last updated in NPPES Dec 1, 2015

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01032465A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
4216390	Other	IN	AETNA ID
100070810	Medicaid	IN	-
000000546802	Other	-	ANTHEM BLUE CROSS
6148784003	Other	IN	CIGNA ID
080096741	Other	-	MEDICARE RAILROAD
112810C	Other	-	OLD MEDICARE ID #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Dallis Bowditch practice?

The practice location on file with NPPES is in Logansport, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Dallis Bowditch?

The National Provider Identifier (NPI) for Dallis Bowditch is 1790788255, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-01.