Mark David Bornstein, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1420 Issued in FL

Practice address

4861 S Orange Ave
Orlando, FL 32806-6949

Phone

(407) 857-4206

Fax

(407) 857-3893

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dr. Mark Bornstein Pharmacy

  • Specialty Pharmacy
  • Orlando, FL
  • NPI 1639524010
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396859252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066949",
            "telephone_number": "407-857-4206",
            "fax_number": "407-857-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066949",
            "telephone_number": "407-857-4206",
            "fax_number": "407-857-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410853",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Borland, NP
• Born Again Doctor LLC
• Born Two Care Companions
• Sarah Born
• Jeffrey A Bornstein, MD
• Richard Scott Bornstein, DPM
• Lisa Borntrager, MSW
• Quinn A Boroughs
• Doris Borreli
• Samuel Borrelli, M.D.

• Podiatrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.