Individual provider Active NPI

Natalie Tolbert-Bornstein, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1508860198
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G1563 Issued in TX
Practice address
2260 Trawood Dr
El Paso, TX 79935-3040
Phone
(915) 591-4632
Fax
(915) 591-4069
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G1563 TX Primary

Addresses

Primary practice location

2260 Trawood Dr
El Paso, TX 79935-3040

Mailing address

2260 Trawood Dr
El Paso, TX 79935-3040
Phone (915) 591-4632

Other identifiers 4

IdentifierTypeStateIssuer
TXB152437OtherTXWELLMED PTAN
1152407-03MedicaidTX
115240704MedicaidTX
87T505OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100811000042 TX Practitioner - Internal Medicine 0143386748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1563TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1508860198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353040",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353040",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT-BORNSTEIN",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G1563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "TXB152437",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152407-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115240704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "87T505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.