Organization Active NPI

Bornemann Health Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Reading, PA
National Provider Identifier
1417903097
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BORNEMANN HEALTH CORPORATION
Doing business as
BORNEMANN CARDIO THORACIC
Practice address
2494 Bernville Rd.
Reading, PA 19605
Phone
(610) 378-2676
Fax
(610) 378-2679
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
David Lim
Title
VP Finance Cfo
Phone
(610) 378-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

2494 Bernville Rd.
Reading, PA 19605

Mailing address

PO Box 316
Reading, PA 19603-0316
Phone (610) 378-2731

Other identifiers 3

IdentifierTypeStateIssuer
1007411020007MedicaidPA
B01451327OtherHIGHMARK
3052060OtherAETNA

Other names 1

  • BORNEMANN CARDIO THORACIC Doing business as

National Provider Directory

National Provider Directory

Locations

2901 Saint Lawrence Ave
Reading, PA 19606
Phone (610) 370-5244

2494 Bernville Rd
Reading, PA 19605
Phone (610) 378-2676

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1417903097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "READING",
            "state": "PA",
            "postal_code": "196030316",
            "telephone_number": "610-378-2731",
            "fax_number": "610-208-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD.",
            "city": "READING",
            "state": "PA",
            "postal_code": "19605",
            "telephone_number": "610-378-2676",
            "fax_number": "610-378-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNEMANN HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP FINANCE CFO",
        "authorized_official_telephone_number": "610-378-2288"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007411020007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "B01451327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3052060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BORNEMANN CARDIO THORACIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.