Individual provider Active NPI

Suzanne Bornschein, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1528016334
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09293 Issued in RI
Practice address
7 Central St
Providence, RI 02907-2201
Phone
(401) 648-4700
Fax
(833) 905-2260
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 MD09293 RI Primary

Addresses

Primary practice location

7 Central St
Providence, RI 02907-2201

Mailing address

7 Central St
Providence, RI 02907-2201
Phone (401) 648-4700

Other practice location 1

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400 ext. 3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09293RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Rhode Island Public Health Foundation CurrentSince Dec 1, 2022 Accepting new patients

Locations

7 Central St
Providence, RI 02907
Phone (401) 621-8200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1528016334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CENTRAL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072201",
            "telephone_number": "401-648-4700",
            "fax_number": "833-905-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CENTRAL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072201",
            "telephone_number": "401-648-4700",
            "fax_number": "833-905-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Allens Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029055010",
            "country_code": "US",
            "telephone_number": "401-444-0400 x3125",
            "fax_number": "401-444-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNSCHEIN",
        "first_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.