Henry Michael Born, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10586 Issued in AL

Practice address

3871 US Highway 278 E
Hokes Bluff, AL 35903-7507

Phone

(256) 492-0544

Fax

(256) 492-0558

NPI assigned

Oct 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mat Medical LLC

  • Addiction Medicine (Family Medicine) Physician
  • Hokes Bluff, AL
  • NPI 1255095261
  Medicare reassignment NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1831287127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 US HIGHWAY 278 E",
            "city": "HOKES BLUFF",
            "state": "AL",
            "postal_code": "359037507",
            "telephone_number": "256-492-0544",
            "fax_number": "256-492-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 US HIGHWAY 278 E",
            "city": "HOKES BLUFF",
            "state": "AL",
            "postal_code": "359037507",
            "telephone_number": "256-492-0544",
            "fax_number": "256-492-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "HENRY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10586",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "10586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009953560",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51503789",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Barrett, RD
• Cardiovascular Imaging
• Lindsey Dupree
• Kimberly Boyd Heath, R.D., L.D.
• Henry M Born MD PC
• Integrated Wellness Providers, PC

• Family Medicine Physician in Hokes Bluff, AL
• Providers in Hokes Bluff, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.