Bradley Paul Borsboom, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP133558 Issued in TX

Practice address

19701 Kingwood Dr BLDG 3
Kingwood, TX 77339-3773

Phone

(281) 358-5701

NPI assigned

May 16, 2017

Last updated

Jul 21, 2022By 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Athi P Venkatesh MD PAGroup PAC ID 0749213403, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athi P Venkatesh MD PA

  dba Kingwood Psychiatry

  • Psychiatry Physician
  • Kingwood, TX
  • NPI 1780703942
  Medicare reassignment Care Compare group NPD
• Develop Counseling & Consulting Services LLC

  • Mental Health Counselor
  • Shenandoah, TX
  • NPI 1811639362
  NPD

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740717180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18706 OXENBERG MANOR LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775529",
            "telephone_number": "281-796-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Pine Forest Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773845302",
            "country_code": "US",
            "telephone_number": "281-358-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 New Trails Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773814546",
            "country_code": "US",
            "telephone_number": "281-367-1015 x117",
            "fax_number": "281-367-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORSBOOM",
        "first_name": "BRADLEY",
        "middle_name": "PAUL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP133558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda G. Bollman
• Holly Boone, DMD
• Morgan L Boren, DO
• Laura L Boring
• Laura Bornhorst, MD, MBA
• Russell Bortnem Jr., DDS
• Jeanette M Bourbeau
• Sheryl Kay Bourque, COTA
• Felicia Boutte, PA
• Tomi-Ko Bowers, FNP

• Psychiatric/Mental Health Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.