Individual provider Active NPI

Paul Allen Borgfeld, M. D.

  • Internal Medicine Physician
  • San Angelo, TX
National Provider Identifier
1104820976
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0193 Issued in TX
Practice address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone
(325) 653-6741
Fax
(325) 481-2165
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0193 TX Primary

Addresses

Primary practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511

Other identifiers 2

IdentifierTypeStateIssuer
103697203MedicaidTX
8X7890OtherTXBSBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040803001030 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3870564917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen Rose Healthcare, IncGroup PAC ID 6709986656, 12 clinicians

Practice addresses (Care Compare)

1021 Holden St
Glen Rose, TX 76043-4937
Phone (254) 897-2202

Hospital & facility affiliations

  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somervell County Hospital District Current Accepting new patients
Glen Rose Healthcare, Inc CurrentSince Apr 1, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Paul a. Borgfeld M.D. PA Internal Medicine PastSince Dec 1, 2002 Accepting new patients
Hendrick Medical Center Internal Medicine Past Accepting new patients
Privia Medical Group West Texas, PLLC PastSince Sep 1, 2007 Accepting new patients

Locations

409 Glenwood St
Ste 500
Glen Rose, TX 76043
Phone (254) 897-2202

1021 Holden St
Ste 200
Glen Rose, TX 76043
Phone (254) 897-3310

409 Glenwood St
#500
Glen Rose, TX 76043
Phone (254) 897-1471

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1948/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.borgfeld.1@1948.direct.athenahealth.com
  • Direct secure messaging: paulborgfeld@grmf.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1104820976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904",
            "telephone_number": "325-653-6741",
            "fax_number": "325-481-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGFELD",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H0193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103697203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC",
            "identifier": "8X7890",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.