Individual provider Active NPI

James David Borel, MD

  • Anesthesiology Physician
  • Glendale, AZ
National Provider Identifier
1821068461
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11909 Issued in AZ
Practice address
3820 W Happy Valley Rd Ste 141-623
Glendale, AZ 85310-3292
Phone
(602) 741-9087
Fax
(623) 580-6944
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11909 AZ Primary

Addresses

Primary practice location

3820 W Happy Valley Rd Ste 141-623
Glendale, AZ 85310-3292

Mailing address

3820 W Happy Valley Rd Ste 141-623
Glendale, AZ 85310-3292
Phone (602) 741-9087

Other identifiers 2

IdentifierTypeStateIssuer
050074491OtherMEDICARE RAILROAD
222331MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1821068461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 W HAPPY VALLEY RD STE 141-623",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103292",
            "telephone_number": "602-741-9087",
            "fax_number": "623-580-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 W HAPPY VALLEY RD STE 141-623",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103292",
            "telephone_number": "602-741-9087",
            "fax_number": "623-580-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREL",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "11909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050074491",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.