Individual provider Active NPI

Bonnie Mae Borman, DC

  • Chiropractor
  • Broomfield, CO
National Provider Identifier
1770669251
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3277 Issued in CO
Practice address
3915 W 127TH Ave
Broomfield, CO 80020
Phone
(303) 465-1366
Fax
(303) 635-0729
NPI assigned
Oct 27, 2006
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3277 CO Primary

Addresses

Primary practice location

3915 W 127TH Ave
Broomfield, CO 80020

Mailing address

3915 W 127TH Ave
Broomfield, CO 80020
Phone (303) 465-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000393 CO Practitioner - Chiropractic 1658304738 Practice locations: Broomfield, CO; Golden, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Youngfield St
Suite 311
Golden, CO 80401-0210
Phone (303) 465-1366

3915 W 127TH Ave
Broomfield, CO 80020-5339
Phone (303) 465-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3277COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Chiropractic Center, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1770669251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 W 127TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-465-1366",
            "fax_number": "303-635-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W 127TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-465-1366",
            "fax_number": "303-635-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMAN",
        "first_name": "BONNIE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.