Richard Borck, B.S., EMT-B

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

510263 Issued in FL

Practice address

1402 Oak St
Melbourne, FL 32901-3113

Phone

(321) 722-3288

Fax

(321) 722-3468

NPI assigned

Jun 23, 2017

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEBHBA

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.

• Charles H Croft MD PA

  dba The Really Useful Cardiology Company

  • Interventional Cardiology Physician
  • Melbourne, FL
  • NPI 1285806869

  Multi-Specialty

  NPD
• Passion Quest, Inc.

  dba Southeast Cardiovascular Imaging

  • Clinic/Center
  • Melbourne, FL
  • NPI 1417087495
  NPD (past)

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1053831644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013113",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013113",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Valentine St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013128",
            "country_code": "US",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORCK",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "B.S., EMT-B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "510263",
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Bond, D.C.
• Maria Eversole Bonnett, A.R.N.P.
• John Booher, BCABA
• Elizabeth Boone
• Marie Boone, APRN, FNP-C
• Glori Borges, M.A., LMHC
• Morgan Jeanne Borges, NP
• Boris Havkin PLLC
• Kaylee Anice Bormuth
• Brent Boro, ARNP

• Basic Emergency Medical Technician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Basic Emergency Medical Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.