Teodoro Ef Bordador Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01026068A Issued in IN

Practice address

911 N Shelby St
Salem, IN 47167

Phone

(812) 883-5881

Fax

(812) 883-8518

NPI assigned

Mar 2, 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 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314

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.

• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  Medicare reassignment Care Compare group NPD
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Vincent Salem Hospital Inc

  • Critical Access Hospital
  • Salem, IN
  • NPI 1427388982
  Care Compare affiliation

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1750358313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N SHELBY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "47167",
            "telephone_number": "812-883-5881",
            "fax_number": "812-883-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SHELBY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "47167",
            "telephone_number": "812-883-5881",
            "fax_number": "812-883-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDADOR",
        "first_name": "TEODORO",
        "middle_name": "EF",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01026068A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100362940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baptist Health Medical Group Inc
• Shelly A Bartoch
• Sheila Belamour, PTA
• Blue River Services, Inc.
• Blue River Services, Inc.
• Laura Janese Brister
• Brock Emergency Physicians
• Lindsey N Brough, FNP-C
• Shelley Lane Brown
• Trina Torstrick Brown, LMT, CMT

• Psychiatry Physician in Salem, IN
• Providers in Salem, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.