Active NPI
Michael Andrew Borten, MD
- Diagnostic Radiology Physician
- Winston Salem, NC
National Provider Identifier
1861139354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- RTL23-0538
- Practice address
- 1 Medical Center Blvd
Winston Salem, NC 27157-6202 - Phone
- (336) 716-2011
- NPI assigned
- May 16, 2022
- Last updated
- Mar 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT226283 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | RTL23-0538 | NC | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Winston Salem, NC 27157-6202
Mailing address
2432 Walker Ave
Winston Salem, NC 27103-4334
Phone (301) 787-1029
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL23-0538 | NC | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1861139354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 WALKER AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034334",
"telephone_number": "301-787-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271576202",
"telephone_number": "336-716-2011"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "484-862-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORTEN",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT226283",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "RTL23-0538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.