David T. Bortel, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DB406272 Issued in MI

Practice address

555 W Wackerly St
Suite 2600
Midland, MI 48640-4710

Phone

(989) 631-0512

Fax

(989) 631-7337

NPI assigned

Aug 10, 2005

Reactivated

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1659373629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "address_2": "SUITE 2600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404710",
            "telephone_number": "989-631-0512",
            "fax_number": "989-631-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "address_2": "SUITE 2600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404710",
            "telephone_number": "989-631-0512",
            "fax_number": "989-631-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTEL",
        "first_name": "DAVID",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-12-02",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "DB406272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3377857",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0560102",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Booth
• Carol Lindley Boothroyd, LLPC
• Paul R Boothroyd Jr., LPC
• Valerie Born
• Samantha Borowiak
• Kirk J Bortel, M.D.
• Boss and Rorvik Family Dental, PLLC
• William C Boss, DMD
• Caitlyn Louise Bott
• Racha W Boulos, MD

• Orthopaedic Surgery Physician in Midland, MI
• Providers in Midland, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.