Individual provider Active NPI

Charles A Borchard, DPM

  • Podiatrist
  • Saginaw, MI
National Provider Identifier
1609858448
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001384 Issued in MI
Practice address
2604 W Genesee Ave
Saginaw, MI 48602-3951
Phone
(989) 792-7878
Fax
(989) 792-7773
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001384 MI Primary

Addresses

Primary practice location

2604 W Genesee Ave
Saginaw, MI 48602-3951

Mailing address

2604 W Genesee Ave
Saginaw, MI 48602-3951
Phone (989) 792-7878

Other identifiers 4

IdentifierTypeStateIssuer
4857350010OtherMIBCBS AND HPM
1883119MedicaidMI
P105762OtherMIBCN
480006381OtherMIMRRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001389 MI Practitioner - Podiatry 0749476778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2604 W Genesee Ave
Saginaw, MI 48602-3951
Phone (989) 792-7878

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal of nail tissue103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001384MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Borchard, DPM, PLLC Podiatrist CurrentSince Jan 1, 2015 Accepting new patients

Locations

2604 W Genesee Ave
Saginaw, MI 48602
Phone (989) 792-7878

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1609858448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023951",
            "telephone_number": "989-792-7878",
            "fax_number": "989-792-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023951",
            "telephone_number": "989-792-7878",
            "fax_number": "989-792-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARD",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AND HPM",
            "identifier": "4857350010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883119",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P105762",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRRR",
            "identifier": "480006381",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.