NPIMap

Individual provider Active NPI

Edward James Borman, M.D.

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1851340657
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT179169 Issued in PA
Practice address
600 Highland Ave
Madison, WI 53792-0001
Phone
(608) 417-6090
Fax
(608) 417-7959
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT179169 PA Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eborman426763@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000936 WI Practitioner - Diagnostic Radiology 3779612668 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians
University of Wisconsin System Non PayrollGroup PAC ID 9133024888, 111 clinicians
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1001 Nygaard St
Stoughton, WI 53589-5495
Phone (608) 877-2660

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-7355

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

1102 S Park
Floors 2 and 4
Madison, WI 53715-1714
Phone (608) 287-5899

1102 S Park St
Madison, WI 53715-1714
Phone (608) 287-2770

1111 Highland Ave
Madison, WI 53705-2275
Phone (608) 265-8731

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone (608) 798-3344

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

301 E 2ND St
Richland Center, WI 53581-1900
Phone (608) 647-6321

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

3209 Dryden Dr
Madison, WI 53704-3015
Phone (608) 287-2770

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

Hospital & facility affiliations

  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109
  • Richland Hospital Hospital, Richland Center, WI, CCN 521341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT179169PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
Fort Healthcare Inc CurrentSince Dec 1, 2010 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: eborman426763@direct.uwhealth.org

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1851340657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-417-6090",
            "fax_number": "608-417-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMAN",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT179169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eborman426763@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.