Richard E Borrack, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

2048802 Issued in FL

Practice address

108 Stonebriar Blvd
Jupiter, FL 33458

Phone

(561) 422-5706

NPI assigned

Feb 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1124206909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STONEBRIAR BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-422-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STONEBRIAR BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-422-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRACK",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "2048802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Juliana Bonneville
• Bonnie K Santo D.C.
• Bonnie K. Santo D.C.
• Gabriella Bonomo, M.D.
• Bontrager Wellness, Inc.
• Asher Anne Borradaile, APRN
• Mitchelle Borroto Alvarez
• Daniel L Boss, MD
• Kelly Marie Bosscher, D.P.T
• Russell A Bourne Jr., PH.D.

• Emergency Registered Nurse in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Emergency Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.