Robert H Borchardt MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D6954 Issued in UT

Legal business name

ROBERT H BORCHARDT MD PA

Practice address

1015 Hillcrest Dr
Vernon, TX 76384-3100

Phone

(940) 552-5495

Fax

(940) 552-2473

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert H Borchardt, MD

Title

President

Phone

(940) 552-5495

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1619205879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-5495",
            "fax_number": "940-552-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-5495",
            "fax_number": "940-552-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H BORCHARDT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-552-5495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "D6954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OA5899",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Vernon, TX
• Providers in Vernon, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.