Dean Robert Bordeaux, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036031368 Issued in IL

Practice address

7614 N Patton LN
Peoria, IL 61614-1828

Phone

(309) 692-8686

Fax

(309) 692-8741

NPI assigned

Mar 11, 2013

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1770824112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 N PATTON LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141828",
            "telephone_number": "309-692-8686",
            "fax_number": "309-692-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 N PATTON LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141828",
            "telephone_number": "309-692-8686",
            "fax_number": "309-692-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "DEAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036031368",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "2743730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Christopher Booher, DO
• Steven D Booker, CRNA
• Amy Lou Boone, PTA
• Alex Michael Boord
• Heather A Boore, APN, CNS-BC
• Joel Borden, M.D.
• Susan B Bordenave-Bishop, DMD
• Blesilda Borero, P.T.
• Daniel J Borsuk, M.D.
• Rachel Ellen Borton, APN

• Family Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.