Brenda Sue Borkgren, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

025760 Issued in TN

Practice address

1017 Executive Dr Ste 101
Hixson, TN 37343-7911

Phone

(423) 870-1999

Fax

(423) 870-1977

NPI assigned

Aug 14, 2007

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545
  Medicare reassignment NPD
• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Lafayette

  • Rural Health Clinic/Center
  • La Fayette, GA
  • NPI 1760632780
  NPD
• Endocrine Associates of the Quad Cities S.C.

  • Specialist
  • Moline, IL
  • NPI 1407912264
  NPD (past)
• Thomas Rohde, M.D., LTD

  • Health Service Clinic/Center
  • Decatur, IL
  • NPI 1447459540
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1639361579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217133",
            "telephone_number": "423-495-4345",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 EXECUTIVE DR STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437911",
            "telephone_number": "423-870-1999",
            "fax_number": "423-870-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKGREN",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "025760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BLC Wellington-Hixson, LLC (Brookdale Hixson)
• Alexis Nicole Boddy, N.P.
• Steven Wayne Bohr, CRNA
• Kelli Boitnott
• Madeline Boote, PTA
• Jon Brooks Boroughs, M.D.
• Shauna Borrero, RDN, LD, CNSC
• Stephanie Bougrat
• Bounceback Physical Therapy LLC
• Allyson Bowman, LPC-MHSP

• Family Nurse Practitioner in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.