Active NPI
Bornemann Health Corporation
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Reading, PA
National Provider Identifier
1417903097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007411020007 | Medicaid | PA | |
| B01451327 | Other | HIGHMARK | |
| 3052060 | Other | AETNA |
Other names 1
- BORNEMANN CARDIO THORACIC
National Provider Directory
National Provider DirectoryLocations
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.