Elliot Howard Borak, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

00007758 Issued in AL

Practice address

3719 Dauphin St
Ste 5a
Mobile, AL 36608-1753

Phone

(251) 414-5900

Fax

(251) 342-3842

NPI assigned

Jul 13, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alabama Medical Group, PC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1841712684
  NPD
• Internal Medicine Center LLC

  • Nurse Practitioner
  • Mobile, AL
  • NPI 1538274329
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1265430235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160928",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366161928",
            "telephone_number": "251-414-5900",
            "fax_number": "251-342-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "STE 5A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-414-5900",
            "fax_number": "251-342-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAK",
        "first_name": "ELLIOT",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00007758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932925",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2910053",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051517337",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Boone
• Cheryl Ann Booth, CRNP
• Joseph Hunt Booth Jr., NP-C
• Nia Annette Booth
• Stacy B Booth, PA-C
• David John Borcicky, DPM
• Dawn Bordelon, RBT
• Robert C Borden, PA C
• Joseph E Bornstein, MD, MBA
• Abigail Marita Bosarge

• Gastroenterology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.