NPIMap

Organization Active NPI

Dr. Britt Borden

  • Internal Medicine Physician
  • Evanston, IL
National Provider Identifier
1114572963
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. BRITT BORDEN
Practice address
906 Davis St
Evanston, IL 60201-3608
Phone
(847) 492-1778
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Dr. Britt Borden, MD
Title
Medical Director
Phone
(847) 492-1778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

906 Davis St
Evanston, IL 60201-3608

Mailing address

906 Davis St
Evanston, IL 60201-3608

Other identifiers 1

IdentifierTypeStateIssuer
036115105MedicaidIL

Other names 1

  • Medical Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Britt Borden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

906 Davis St
Evanston, IL 60201
Phone (847) 492-1778

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1114572963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013608",
            "telephone_number": "847-492-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRITT BORDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "BRITT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-492-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.