Individual provider Active NPI

Bianca Mercedes Asan Borja, M.D.

  • Emergency Medicine Physician
  • Marinette, WI
National Provider Identifier
1306258728
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T5514 Issued in TX
Practice address
3100 Shore Dr
Marinette, WI 54143-4242
Phone
(715) 735-4200
Fax
(865) 292-3015
NPI assigned
May 21, 2014
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X T5514 TX Primary
Emergency Medicine Physician 207P00000X 66962-20 WY

Addresses

Primary practice location

3100 Shore Dr
Marinette, WI 54143-4242

Mailing address

1504 Taub Loop, Emergency Center
C.O. Victoria Garza
Houston, TX 77030
Phone (713) 873-7045

Other identifiers 1

IdentifierTypeStateIssuer
1306258728MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170530002064 WI Practitioner - Emergency Medicine 7012284755 Reassigns benefits to 1 organization
I20220524000360 TX Practitioner - Emergency Medicine 7012284755 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comal Emergency Physicians PLLCGroup PAC ID 6901259936, 81 clinicians
Barrier Reef Emergency Physicians PLLCGroup PAC ID 4789738360, 30 clinicians
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

244 Creekside Xing
New Braunfels, TX 78130-3927
Phone (830) 608-5600

301 University Blvd
Galveston, TX 77555-0100
Phone (954) 939-5000

323 E Hawkins Pkwy
Longview, TX 75605-8153
Phone (903) 544-6700

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66962-20WYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Feb 13, 2024 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Emergency Physician Associates of Wisconsin SC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
St. Luke's Community Health Services Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations (25 of 33)

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

9711 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 441-6520

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1306258728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP, EMERGENCY CENTER",
            "address_2": "C.O. VICTORIA GARZA",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-873-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-4200",
            "fax_number": "865-292-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAN BORJA",
        "first_name": "BIANCA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-03-12",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T5514",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "66962-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306258728",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.