Bishnu Charan Borah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD023073E Issued in PA

Practice address

380 Middletown Blvd
Suite# 702
Langhorne, PA 19047-1845

Phone

(215) 752-9100

Fax

(215) 752-4316

NPI assigned

Mar 30, 2006

Last updated

Mar 14, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1184685034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE# 702",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-752-9100",
            "fax_number": "215-752-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE# 702",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-752-9100",
            "fax_number": "215-752-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAH",
        "first_name": "BISHNU",
        "middle_name": "CHARAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD023073E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006230800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen A Bogush, MD
• Bonnie S. Eldredge,O.D., Inc. (Eldredge Eye Associates)
• Bono Surgical Specialties LLC
• Michael David Bono, MD
• Jameia Boone, LPC
• Victoria Bordeaux
• Jacqueline M Borman, PT
• Bernadett Boronea-Almasi, PHARMD
• Bowers Rehabilitation Services
• Scott Bracken, PA-C

• Pediatrics Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.