Joseph Spencer Bordelon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

100 Park St
Anesthesia Department
Glens Falls, NY 12801-4413

Phone

(518) 926-5127

NPI assigned

Jun 29, 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

Enrolled in NY

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

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in Shreveport, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern New York Physician Services PLLCGroup PAC ID 1658787569, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Northern New York Physician Services PLLC

  • Anesthesiology Physician
  • Glens Falls, NY
  • NPI 1952911414
  Medicare reassignment Care Compare group NPD
• Anesthesiologists of Glens Falls, P.C.

  • Anesthesiology Physician
  • Glens Falls, NY
  • NPI 1053365171
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1679501449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "address_2": "ANESTHESIOLOGISTS OF GLENS FALLS",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951357",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "JOSEPH",
        "middle_name": "SPENCER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672686",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy E Bly, FNP
• Devon E Bock, MD
• Susan Boggia, AU.D.
• Susan Bogosian, RN
• Rebekah Booth
• William M Borgos, MD
• Donna Jean Boss, PA
• Julia Bottoni, MD
• Joan W Boucher, OT
• Lisa C Bourgeault, BA, CASAC

• Anesthesiology Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.