Individual provider Active NPI

Brittany Taylor Borges, PMHNP-DNP

  • Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1003415837
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704329396 Issued in MI
Practice address
500 10TH St
Port Huron, MI 48060-4477
Phone
(800) 395-3223
Fax
(248) 620-6405
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704329396 MI
Nurse Practitioner 363L00000X 4704329396 MI Primary

Addresses

Primary practice location

500 10TH St
Port Huron, MI 48060-4477

Mailing address

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223

Other practice location 1

42669 Garfield Rd
Clinton Township, MI 48038-1653
Phone (800) 395-3223

Other practice location 2

32 East, 1200 Telegraph Rd
Pontiac, MI 48341
Phone (800) 231-1127

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL commonground Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927001038 MI Practitioner - Nurse Practitioner 5294266540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

500 10TH St
Port Huron, MI 48060-4477
Phone (800) 395-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

42669 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-5321

2401 S Linden Rd
Flint, MI 48532
Phone (810) 957-4310

500 10th St
Port Huron, MI 48060
Phone (801) 357-0760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1003415837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "800-395-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604477",
            "telephone_number": "800-395-3223",
            "fax_number": "248-620-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42669 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381653",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 East, 1200 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "48341",
            "country_code": "US",
            "telephone_number": "800-231-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGES",
        "first_name": "BRITTANY",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704329396",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704329396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "commonground",
            "affiliation": "N",
            "endpointDescription": "practice location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32 East, 1200 Telegraph Rd",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.