Individual provider Active NPI

Gregory Borg, M.D.

  • Otolaryngology Physician
  • Montgomery, AL
National Provider Identifier
1487761391
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00014032 Issued in AL
Practice address
1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Phone
(334) 834-7221
Fax
(334) 241-9848
NPI assigned
Aug 24, 2006
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 00014032 AL Primary

Addresses

Primary practice location

1722 Pine St
Suite 804
Montgomery, AL 36106-1103

Mailing address

1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Phone (334) 834-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000547 AL Practitioner - Otolaryngology 3274634142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at Houston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1111 Olive St
Montgomery, AL 36106-1129
Phone (334) 834-7221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.07 of 100Reported as individual
Quality
47.39
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14032ALMDPharmacist
00014032ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Jackson Hospital and Clinic Inc CurrentSince Jan 1, 2018 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Jackson Hospital and Clinic, Inc Past Accepting new patients

Locations

1111 Olive St
Montgomery, AL 36106
Phone (334) 293-8888

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1722 Pine St
Ste 804
Montgomery, AL 36106
Phone (334) 834-7221

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: gregory.borg.1@9186.direct.athenahealth.com
  • Direct secure messaging: gregory.borg@direct.baptistfirst.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1487761391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 804",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-7221",
            "fax_number": "334-241-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 804",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-834-7221",
            "fax_number": "334-241-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORG",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00014032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.