Individual provider Active NPI

Randall David Borland, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Uniontown, PA
National Provider Identifier
1366410151
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD060439L Issued in PA
Practice address
269 S Mount Vernon Ave
Uniontown, PA 15401-4178
Phone
(724) 430-7434
Fax
(724) 430-7481
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD060439L PA Primary

Addresses

Primary practice location

269 S Mount Vernon Ave
Uniontown, PA 15401-4178

Mailing address

269 S Mount Vernon Ave
Uniontown, PA 15401-4178
Phone (724) 430-7434

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050323000342 PA Practitioner - Physical Medicine and Rehabilitation 7416903406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

269 S Mount Vernon Ave
Uniontown, PA 15401-4178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060439LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Physiatry, Inc. Physical Medicine & Rehabilitation CurrentSince Dec 8, 1998 Accepting new patients
Physimed, P.a. Physical Medicine & Rehabilitation PastSince Feb 16, 2009 Accepting new patients

Locations

269 S Mount Vernon Ave
Uniontown, PA 15401
Phone (724) 430-7434

159 Morgantown St
Ste B
Uniontown, PA 15401
Phone (724) 430-7434

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1366410151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S MOUNT VERNON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014178",
            "telephone_number": "724-430-7434",
            "fax_number": "724-430-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S MOUNT VERNON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014178",
            "telephone_number": "724-430-7434",
            "fax_number": "724-430-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "RANDALL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD060439L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.