Mark Bordeaux

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2195 Issued in NC

Practice address

Margate Health and Rehab 540 Waugh St
Jefferson, NC 28640-9034

Phone

(336) 246-5581

NPI assigned

Feb 8, 2013

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolinas Cognitive Care, Inc.

  • Occupational Therapist
  • Boone, NC
  • NPI 1992851356
  NPD (past)
• Cornerstone Services, Inc.

  • Occupational Therapist
  • Boone, NC
  • NPI 1518988617
  NPD (past)

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1669711735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CISCO RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051335",
            "telephone_number": "828-230-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGATE HEALTH AND REHAB 540 WAUGH ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409034",
            "telephone_number": "336-246-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hampton Blevins
• Blue Ridge Medical Transport Inc
• Bluehill Health and Wellness, PLLC
• Melinda A Bogardus, FNP
• Boone Pediatric Therapy PLLC (Maple Tree Pediatric Therapy)
• Julie Elizabeth Bostick, LCSW-A
• Kayla Bowlin, RN
• Elizabeth Leigh Bradley, M. D.
• Barbara Ann Brown, LPC
• Meagan Hammond Brown, LCSWA

• Skilled Nursing Facility in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.