P Praxis·MD
● Active Type 1 · Individual

DR. Stephen Dale Bovenkerk, D.O.

Otolaryngology·Monroe, GA· NPI 1760503171 · Enumerated 2007 · 19 years on NPI
Bovenkerk is 1 of 1 otolaryngology providers in Monroe and 1 of 450 in Georgia.
NPI age
19 years
Enumerated 2007-04-03
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
2151 W Spring St Ste B120
Monroe, GA 306553210
📞 7702070215
Mailing address
2680 S Cleveland Ave
Saint Joseph, MI 490853002
📞 2699823368fax 2699833238

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2680 S Cleveland Ave
Saint Joseph, MI 490853002
📞 2699823368fax 2699833238

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #82870 taxonomy 207Y00000X
  • Otolaryngology
    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
    MI license #5101015878 taxonomy 207YX0905X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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