Individual provider Active NPI

Thomas Louis Borok, MD

  • Radiation Oncology Physician
  • Dallas, TX
National Provider Identifier
1013084912
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
F8420 Issued in TX
Practice address
5004 Spyglass Drive
Dallas, TX 75287-7429
Phone
(972) 931-1073
Fax
(972) 931-1073
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X F8420 TX Primary
Radiation Oncology Physician 2085R0001X 31879 GA
Radiation Oncology Physician 2085R0001X 01053626A IN
Radiation Oncology Physician 2085R0001X 41983020 WI
Radiation Oncology Physician 2085R0001X 10480 MT
Radiation Oncology Physician 2085R0001X 41983-020 WI

Addresses

Primary practice location

5004 Spyglass Drive
Dallas, TX 75287-7429

Mailing address

PO Box 702806
Dallas, TX 75370-2806
Phone (972) 931-1073

Other identifiers 2

IdentifierTypeStateIssuer
PO8820196MedicaidTX
897859945OtherIMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31879GAMDRadiation Oncology Physician
01053626AINMDRadiation Oncology Physician
10480MTMDRadiation Oncology Physician
F8420TXMDRadiation Oncology Physician
41983-020WIMDRadiation Oncology Physician
41983020WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Past Accepting new patients
Thomas Louis Borok, MD, PA Radiation Oncology Past Accepting new patients

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1013084912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702806",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753702806",
            "telephone_number": "972-931-1073",
            "fax_number": "972-931-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 SPYGLASS DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877429",
            "telephone_number": "972-931-1073",
            "fax_number": "972-931-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROK",
        "first_name": "THOMAS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "F8420",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "31879",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01053626A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "41983020",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MT",
            "license": "10480",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "41983-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO8820196",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMP",
            "identifier": "897859945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.