Individual provider Active NPI

Anthony S Bordon, M.D.

  • Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1649474628
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N8079 Issued in TX
Practice address
730 N Houston Ave
New Braunfels, TX 78130-4132
Phone
(830) 620-5393
Fax
(830) 620-5316
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N8079 TX Primary

Addresses

Primary practice location

730 N Houston Ave
New Braunfels, TX 78130-4132

Mailing address

919 Hidden RDG
Floor 6
Irving, TX 75038-3813
Phone (469) 282-2713

Other identifiers 4

IdentifierTypeStateIssuer
P01282389OtherTXRAILROAD MEDICARE
1G7341OtherTXMEDICARE
284898801MedicaidTX
P02587323OtherTXMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000065 TX Practitioner - General Surgery 8729250139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1445 Hanz Dr
New Braunfels, TX 78130-2567
Phone (830) 627-7600

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 643-5166

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

730 N Houston Ave
New Braunfels, TX 78130-4132
Phone (830) 620-5393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Hernia repair - groin (open)14
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8079TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2020 Accepting new patients
C H Wilkinson Physician Network CurrentSince Aug 1, 2011 Accepting new patients
C H Wilkinson Physician Network CurrentSince Aug 1, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2020 Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

191 N Union Ave
New Braunfels, TX 78130
Phone (830) 620-1191

730 N Houston Ave
New Braunfels, TX 78130
Phone (830) 620-4540

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: abordon233803@christushealth.direct-ci.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1649474628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "address_2": "FLOOR 6",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2713",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N HOUSTON AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304132",
            "telephone_number": "830-620-5393",
            "fax_number": "830-620-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDON",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N8079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01282389",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1G7341",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284898801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P02587323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.