Frederick W. Born

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009712 Issued in MI

Legal business name

FREDERICK W. BORN

Practice address

4077 S Cleveland Ave
Saint Joseph, MI 49085-9513

Phone

(269) 429-2992

Fax

(269) 429-3372

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Frederick W. Born, D.O.NPI 1295735751

Title

Physician

Phone

(269) 429-2992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Frederick William Born, D.O.

  • Family Medicine Physician
  • Saint Joseph, MI
  • NPI 1295735751
  NPD (past) Authorized official

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1306233242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859513",
            "telephone_number": "269-429-2992",
            "fax_number": "269-429-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859513",
            "telephone_number": "269-429-2992",
            "fax_number": "269-429-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W. BORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "269-429-2992",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Flood, O.D.
• Felicia D. Flowers, PROFESSIONAL COUNSEL
• Dan Lee Fortenbacher, O.D.
• Jenifer Joye Fox, MA, CCC-SLP
• Nicholas McHenry Frazier, D.O.
• Marcus Kyle Free, M.D.
• Freedom Counseling Center Inc
• Stephanie Freels, M.D.
• Fred Henry Frese
• Fresh Perspective Home Care 2 LLC

• Family Medicine Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.