Individual provider Active NPI

Phillip E. Bortmes, D.O.

  • Family Medicine Physician
  • Oswego, KS
National Provider Identifier
1174560692
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-19458 Issued in KS
Practice address
608 Commercial St
Oswego, KS 67356-2312
Phone
(620) 795-2340
Fax
(620) 795-2341
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-19458 KS Primary

Addresses

Primary practice location

608 Commercial St
Oswego, KS 67356-2312

Mailing address

PO Box 736
Parsons, KS 67357-0736
Phone (620) 820-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sjmgroup Past Accepting new patients
St. John'S Medical Group Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pbortmes190698@directb.mercy.net

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1174560692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570736",
            "telephone_number": "620-820-5428",
            "fax_number": "620-820-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 COMMERCIAL ST",
            "city": "OSWEGO",
            "state": "KS",
            "postal_code": "673562312",
            "telephone_number": "620-795-2340",
            "fax_number": "620-795-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTMES",
        "first_name": "PHILLIP",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-19458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.