Organization Active NPI

Charles a. Borchard, DPM, PLLC

  • Podiatrist
  • Saginaw, MI
National Provider Identifier
1285023374
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001384 Issued in MI
Legal business name
CHARLES A. BORCHARD, DPM, PLLC
Practice address
2604 W Genesee Ave
Saginaw, MI 48602-3951
Phone
(989) 792-7878
Fax
(989) 792-7773
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Charles Arthur Borchard, DPMNPI 1609858448
Title
Owner
Phone
(989) 792-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001384 MI Primary

Addresses

Primary practice location

2604 W Genesee Ave
Saginaw, MI 48602-3951

Mailing address

2604 W Genesee Ave
Saginaw, MI 48602-3951
Phone (989) 792-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150128001267 MI Part B Supplier - Clinic/Group Practice 3870817505 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

2604 W Genesee Ave
Saginaw, MI 48602
Phone (989) 792-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1285023374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023951",
            "telephone_number": "989-792-7878",
            "fax_number": "989-792-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023951",
            "telephone_number": "989-792-7878",
            "fax_number": "989-792-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. BORCHARD, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "BORCHARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-792-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.