Daniel Borkert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28658 Issued in SC

Practice address

1809 Wade Hampton Blvd
Suite 120
Greenville, SC 29609-4050

Phone

(864) 322-4665

Fax

(864) 232-4716

NPI assigned

Jul 17, 2006

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mile High Family Medicine Inc

  • General Practice Physician
  • Lakewood, CO
  • NPI 1912056698
  Medicare reassignment NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1285651042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 WADE HAMPTON BLVD",
            "address_2": "STE 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094050",
            "telephone_number": "864-322-4665",
            "fax_number": "864-232-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 WADE HAMPTON BLVD",
            "address_2": "SUITE 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094050",
            "telephone_number": "864-322-4665",
            "fax_number": "864-232-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKERT",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286586",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raghu B Boppana, MD
• Jennifer Ann Borders, MA, LPC
• Rebecca Elaine Borders, RN, BSN, CCRN, SRNA
• Abbie Borem
• Rachel Glenn Borem, LPC
• Nicole Morris Bors
• Stephanie Borum, PA-C
• Jessica Bosnjak
• Lauren Bosshardt, M.D.
• Elizabeth Bostic, NP

• Family Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.