Gregory S Borucki, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DO-719 Issued in AL

Practice address

124 Bluff Spring Dr
Madison, AL 35758-7386

Phone

(256) 325-4075

NPI assigned

Jan 5, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crestwood HB Medical Services LLCGroup PAC ID 2163876491, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score

41.83 of 100Reported as group

Quality

3.95

Improvement activities

40

Cost

82.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Crestwood HB Medical Services LLC

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1548940497
  Medicare reassignment Care Compare group NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment NPD
• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  Medicare reassignment NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Gadsden HB Medical Services LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1750061610
  Medicare reassignment NPD
• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• The Sylacauga Health Care Authority

  dba dba Coosa Valley Medical Center

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD
• HH Crestwood ER Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1811842826
  Medicare reassignment
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1194106443
  NPD
• The Sylacauga Health Care Authority

  dba Coosa Valley Specialty Pharmacy

  • Community/Retail Pharmacy
  • Sylacauga, AL
  • NPI 1689380800
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crestwood Healthcare LP

  dba Crestwood Medical Center

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013995554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6568",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358240568",
            "telephone_number": "256-325-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BLUFF SPRING DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587386",
            "telephone_number": "256-325-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUCKI",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO-719",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO-719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A-1381-06",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DO-719",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "CS00211972",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Faith Hill Bonner, PT
• Chad Eric Booth, R.PH
• Jessica Booth, CRNP
• Jeanna Sewell Boothe, PHARMD
• Laura Michelle Boothe
• Margaret Rudyard Durham Bossaller, MSW, LICSW-S
• Lana Leigh Bowdoin, DMD
• Alicia Ray Bashkiharatee Boyd, CRNP
• Geneva Boyd, ARNP
• Andrew James Brackin, DPT

• Emergency Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.