Robert Alan Bornstein, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3631 Issued in OH

Practice address

1670 Upham Dr
Columbus, OH 43210-1250

Phone

(614) 293-4774

Fax

(614) 293-6058

NPI assigned

Jul 19, 2006

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio State University Orthopedic

  • Orthopaedic Surgery Physician
  • Columbus, OH
  • NPI 1710944814
  NPD (past)
• Osu Sports Medicine Center

  • Sports Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1285692228
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1144249988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 UPHAM DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-4774",
            "fax_number": "614-293-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 UPHAM DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-4774",
            "fax_number": "614-293-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan L Borland, M.D.
• Charlotte Anne Borland, DDS
• Jeremy Bormann, CNP
• Born to Win Christian Center (S. T. a. R. Elder Daycare Center)
• Lynette S Bornman, MD
• Kelly Ann Boroff-Praul, APRN-CNP
• James Boroff
• Vladimir N Borovskikh, MASSAGE THERAPIST
• Jill Marie Borowicz, CNP
• Marta Maria Borralles

• Clinical Neuropsychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.