Organization Active NPI

Borne Medical, LLC.

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1396387213
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BORNE MEDICAL, LLC.
Practice address
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone
(225) 769-2572
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Tyler Borne Borne, CRNA
Title
Owner
Phone
(985) 665-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

505 E Airport Ave
Baton Rouge, LA 70806-6515

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1396387213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E AIRPORT AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066515",
            "telephone_number": "225-769-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNE MEDICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BORNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-665-6639",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.