Alex Peter Bormann, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M-9235 Issued in ID

Practice address

4696 W Overland Rd
Suite 228
Boise, ID 83705-2845

Phone

(208) 343-4383

Fax

(208) 343-1482

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1477547370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD",
            "address_2": "SUITE 228",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052845",
            "telephone_number": "208-343-4383",
            "fax_number": "208-343-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD",
            "address_2": "SUITE 228",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052845",
            "telephone_number": "208-343-4383",
            "fax_number": "208-343-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMANN",
        "first_name": "ALEX",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L3247",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-9235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Borger
• Wendy Lee Borgerd, P.T.
• Michelle Borgquist, LMSW
• Joanna Bork
• Nathaniel A Bork, DMD
• Ian Borovatz, PHARM.D.
• Marlys Ann Borreson, L.C.P.C.
• Alicia R Borst, P.A.C.
• Lindie K Borton, M.D
• Mark D Borup, M.D.

• Psychiatry Physician in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.