Jerry C Bouman Do PC
Jerry C Bouman Do PC is a healthcare organization registered as Surgery Physician in Jenks, OK, holding Type 2 (organization) NPI 1053522193 since 2007. The authorized official on file is Jerry Bouman, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053522193 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jerry C Bouman Do PC |
| Practice address | 715 W MAIN ST, SUITE H, Jenks, OK, 74037 |
| Phone | 9182960900 |
| Fax | 9182960985 |
| Enumeration date | 2007-05-24 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jerry Bouman |
|---|---|
| Title | Physician |
| Phone | 9182960900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 2996 | OK |
Copy-ready billing details
Provider: Jerry C Bouman Do PC NPI: 1053522193 Taxonomy: 208600000X (Surgery Physician) Address: 715 W MAIN ST, SUITE H, Jenks, OK, 74037
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487730958 | South Tulsa Physical Therapy Limited Partnership | Organization | Physical Therapy Clinic/Center | Jenks, OK |
| 1235322645 | Paul Waruszewski | Individual | Family Medicine Physician | Jenks, OK |
| 1891988044 | Eveta Dinges | Individual | Family Nurse Practitioner | Jenks, OK |
| 1891982625 | Jenks Health Team, LLC | Organization | Family Medicine Physician | Jenks, OK |
| 1740513084 | Jennifer R. Cameron, M.D., P.C. | Organization | Family Medicine Physician | Jenks, OK |
| 1134549348 | Re Vision Counseling Services, Pllc | Organization | Community/Behavioral Health Agency | Jenks, OK |
| 1376955484 | Elizabbeth Hill | Individual | Mental Health Counselor | Jenks, OK |
| 1124821202 | Jacqlyn Hurst | Individual | Pediatric Nurse Practitioner | Jenks, OK |
Verify this record
Cross-check NPI 1053522193 against the authoritative CMS record: view Jerry C Bouman Do PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Jerry C Bouman Do PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.