Trent Wade Borders, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

41767 Issued in TN

Practice address

205 Hospital Drvie
Suite a
McKenzie, TN 38201

Phone

(731) 352-7907

Fax

(731) 352-4459

NPI assigned

Feb 7, 2007

Last updated

Nov 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cherry Hill Radiology PLLC

  • Diagnostic Radiology Physician
  • Jackson, TN
  • NPI 1891030946
  NPD (past)
• Clinical Radiologists, PLLC

  • Diagnostic Radiology Physician
  • Huntingdon, TN
  • NPI 1376792804
  NPD (past)
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Bruceton, TN
  • NPI 1245401231
  NPD (past)
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Gleason, TN
  • NPI 1225083991
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1407996762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DRVIE",
            "address_2": "SUITE A",
            "city": "MCKENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DRVIE",
            "address_2": "SUITE A",
            "city": "MCKENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "TRENT",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "41767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511635",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF RADIOLOGY CERTIFICATION",
            "identifier": "54583",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cloye Anita Barnhart-Gray, LCSW
• Madison Beaird, COTA
• Behavioral Health and Wellness
• Bethel Universtiy
• Bethel Universtiy (Bethel Sports Medicine)
• Botanical Emergency Physicians, LLC
• Meredith Ann Brown, NP-C, CHPN, MSN
• Thomas E Brown, MD
• Michael Lee Bryant, MD
• Brittany Burkett

• Diagnostic Radiology Physician in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.