Active NPI
Damon Vincent Borich, MD
- General Practice Physician
- Austin, TX
National Provider Identifier
1063739753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- L1274
- Practice address
- 1810 Kenwood Avenue
Austin, TX 78704 - Phone
- (512) 441-8661
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | L1274 | TX | Primary |
Addresses
Primary practice location
1810 Kenwood Avenue
Austin, TX 78704
Mailing address
1810 Kenwood Avenue
Austin, TX 78704
Phone (512) 441-8661
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1274 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1063739753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 KENWOOD AVENUE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-441-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 KENWOOD AVENUE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-441-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORICH",
"first_name": "DAMON",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "L1274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.