Individual provider Active NPI

Lesley M Drummond-Borg, MD

  • Clinical Genetics (M.D.) Physician
  • Fort Worth, TX
National Provider Identifier
1841281318
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
H4908 Issued in TX
Practice address
750 8TH Ave Ste 200
Fort Worth, TX 76104-2500
Phone
(682) 885-2170
Fax
(817) 335-8277
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X H4908 TX Primary

Addresses

Primary practice location

750 8TH Ave Ste 200
Fort Worth, TX 76104-2500

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090901000616 TX Practitioner - Pediatric MedicinePractitioner - Medical Genetics and Genomics 8224183900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4908TXMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Clinical Genetics (M.D.) CurrentSince Jul 23, 2009 Accepting new patients
Cook Children's Physician Network CurrentSince Jul 23, 2009 Accepting new patients

Locations

750 8th Ave
Ste 200
Ft Worth, TX 76104
Phone (682) 885-2170

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1300 W Lancaster Ave
Ste 204
Ft Worth, TX 76102
Phone (682) 885-2170

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1841281318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 8TH AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042500",
            "telephone_number": "682-885-2170",
            "fax_number": "817-335-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND-BORG",
        "first_name": "LESLEY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TX",
            "license": "H4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.