Felippe Borlot, M.D., MSC.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

CREMESP 117664 Issued in ZZ

Practice address

175 N Medical Dr E
Salt Lake City, UT 84132-0001

Phone

(801) 585-2868

Fax

(801) 581-4192

NPI assigned

Sep 22, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1770032427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S 2300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082745",
            "telephone_number": "801-585-2868",
            "fax_number": "801-581-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-2868",
            "fax_number": "801-581-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLOT",
        "first_name": "FELIPPE",
        "name_prefix": "Dr.",
        "credential": "M.D., MSC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "ZZ",
            "license": "CREMESP 117664",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": "CPSO# 101447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Lambert Borgenicht
• Abby Rebecca Borgeson
• Thomas Frank Bork
• Clara Borland
• Faith Nicole Borland
• Jordan L. Bormann, MD
• Yarden Bornovski, MD
• Christian Bornschein
• Brisley Borquez
• Trevor Matthew Borries, MD

• Neurology with Special Qualifications in Child Neurology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.