Individual provider Active NPI

Azael Borromeo, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1104966159
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4346 Issued in NC
Practice address
8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393
Phone
(919) 846-7246
Fax
(888) 633-8962
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9260 FL
Chiropractor 111N00000X 4346 NC Primary

Addresses

Primary practice location

8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393

Mailing address

8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393
Phone (919) 846-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140122000738 NC Practitioner - Chiropractic 2365503901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4394
Phone (919) 846-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9260FLMDChiropractor
2439TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Alliance Enterprises Chiropractor CurrentSince Apr 18, 2013 Accepting new patients
Creedmoor Chiropractic Chiropractor Past Accepting new patients
Integrative Pain Solutions PLLC Past Accepting new patients

Locations

8009 Creedmoor Rd
Ste 202
Raleigh, NC 27613
Phone (919) 846-7246

7501 Creedmoor Rd
Ste 112
Raleigh, NC 27613
Phone (919) 846-7246

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1104966159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 CREEDMOOR RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134393",
            "telephone_number": "919-846-7246",
            "fax_number": "888-633-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 CREEDMOOR RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134393",
            "telephone_number": "919-846-7246",
            "fax_number": "888-633-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "AZAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9260",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.