Luis V Borrell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

07488 Issued in MS

Practice address

4555 Highland Park Dr
Meridian, MS 39307-5429

Phone

(601) 482-6186

Fax

(601) 483-5543

NPI assigned

Dec 12, 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

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801956438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393044128",
            "telephone_number": "601-482-6186",
            "fax_number": "601-483-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 HIGHLAND PARK DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075429",
            "telephone_number": "601-482-6186",
            "fax_number": "601-483-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELL",
        "first_name": "LUIS",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "07488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112064",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Bonner, FNP-C
• Sarah Cecelia Bonner, RPH
• Baleigh N Booker, DPT
• A Gary Boone, M.D.
• Gabrielle Boone, NP-C
• Morgan Alyse Boswell, D.O.
• Michelle Denise Boucher-Snodgrass, PH.D.
• Terri Bourrage
• Robert Bowles, RPH
• Susan Justice Bowles, RPH

• Internal Medicine Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.