Terri Vercedus Bordeaux, ETC.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2112 F St NW Ste 504
Washington, DC 20037-2761

Phone

(202) 684-2784

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Home Development Group

  • Family Medicine Physician
  • Washington, DC
  • NPI 1902232168

  Single Specialty

  NPD
• Partners in Care Network

  • Health Service Clinic/Center
  • Washington, DC
  • NPI 1275297004

  Single Specialty

  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1447930409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 151",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-684-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "TERRI",
        "middle_name": "VERCEDUS",
        "credential": "ETC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetanjali Bora, M.D
• Jenneh Borbor
• Mercy Borbor
• Christopher Charles Borck
• Joseph Thomas Bordeaux
• Christina Borden
• Nichelle Borden
• William B Borden, M.D.
• Shaynelle Bordley-Barnes, M.A.
• Jose Bordon, MD

• Peer Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Peer Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.