Active NPI
Natalie Tolbert-Bornstein, MD
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1508860198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G1563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB152437 | Other | TX | WELLMED PTAN |
| 1152407-03 | Medicaid | TX | |
| 115240704 | Medicaid | TX | |
| 87T505 | Other | TX | MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100811000042 | TX | Practitioner - Internal Medicine | 0143386748 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1563 | TX | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.