Heather L Borders, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MED-PHYS-LIC-69139 Issued in MT

Practice address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Phone

(406) 587-8631

Fax

(406) 587-1343

NPI assigned

Apr 17, 2007

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Diagnostic Radiology

Education

Michigan State University College of Human Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Intercity Imaging LLCGroup PAC ID 0941238042, 13 clinicians

Intercity Radiology PCGroup PAC ID 9830003847, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deaconess Intercity Imaging LLC

  dba Advanced Medical Imaging

  • Clinic/Center
  • Bozeman, MT
  • NPI 1497704860
  Medicare reassignment Care Compare group NPD
• Intercity Radiology, PC

  • Specialist
  • Bozeman, MT
  • NPI 1356390736
  Medicare reassignment Care Compare group
• Eastern Radiological Associates PC

  dba Yellowstone Vein Center

  • Diagnostic Ultrasound Physician
  • Billings, MT
  • NPI 1639102171

  Pediatric Radiology

  Medicare reassignment NPD
• Cleveland Clinic Health Services Professional Association, Inc

  • General Practice Physician
  • Cleveland, OH
  • NPI 1770082471

  MT

  Medicare reassignment

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1508082892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-69139",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "333034",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-69139",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301081598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisun Cummings Bonville, N.D.
• Alicia Boone, PCLC
• Christopher Anthony Boor, D.P.T.
• James L Booth, D.D.S
• Jamie Erin Booth, DDS
• Kathryn Borgenicht, MD
• Kimberly A Borke, MD
• Dusti Lyn Borsheim, LCPC
• Mary S. Boscamp, PA-C
• Abigail Bosoluke, PA-C

• Diagnostic Radiology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Diagnostic Radiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.