Reymundo Borjon Jr., IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2200 Gator Blvd
Virginia Beach, VA 23459-9010

Phone

(757) 462-8088

NPI assigned

Jan 10, 2007

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

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1750431284",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 473 BOX 108",
            "city": "YOKOSUKA",
            "state": "HONSHU",
            "postal_code": "96349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GATOR BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234599010",
            "telephone_number": "757-462-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJON",
        "first_name": "REYMUNDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Booth
• Lauren Booth, RBT
• Michelle Anne Booth, D.C.
• Victoria Leigh Borden, PHARM.D.
• Sade Borders
• Charin Marie Borrero, RPAC
• Hailey Brooke Borst
• Meridith Elise Borza, D.O.
• Kevin Bosin
• Serita Bostick, LMT

• Independent Duty Corpsman in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.