Active NPI
Paul Herbert Bornemann, M.D.
- Family Medicine Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36684
- Practice address
- 145 Sunset CT Ste 100
West Columbia, SC 29169-2429 - Phone
- (803) 739-3550
- Fax
- (803) 739-3546
- NPI assigned
- Mar 8, 2008
- Last updated
- Mar 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101243142 | VA | |
| Family Medicine Physician | 207Q00000X | 36684 | SC | Primary |
Addresses
Primary practice location
145 Sunset CT Ste 100
West Columbia, SC 29169-2429
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 739-3550
Other practice location 1
3209 Colonial Dr
Columbia, SC 29203-6930
Phone (803) 434-6113
Other practice location 2
56 US Highway 321 Byp N
Winnsboro, SC 29180-7100
Phone (803) 635-6099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366847 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbornemann37263@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Sunset CT
Suite 100And201
West Columbia, SC 29169-2429
Phone (803) 739-3550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36684 | SC | MD | Pharmacist |
| 0101243142 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Past | Accepting new patients |
Locations
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- pbornemann37263@direct.lexmed.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
Family Medicine
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba LMC Swansea Primary Care
- Family Medicine Physician
- Swansea, SC
- NPI 1164029591
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Columbia, SC
- NPI 1144545484
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1699945451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-739-3550",
"fax_number": "803-739-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SUNSET CT STE 100",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291692429",
"telephone_number": "803-739-3550",
"fax_number": "803-739-3546"
}
],
"practiceLocations": [
{
"address_1": "3209 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036930",
"country_code": "US",
"telephone_number": "803-434-6113",
"fax_number": "803-434-7231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "56 US Highway 321 Byp N",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "SC",
"postal_code": "291807100",
"country_code": "US",
"telephone_number": "803-635-6099",
"fax_number": "803-635-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORNEMANN",
"first_name": "PAUL",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-08",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101243142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "36684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366847",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbornemann37263@direct.lexmed.com",
"affiliation": "N",
"address_1": "145 Sunset Ct Ste 100",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291692429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.