Individual provider Active NPI

Judy E Borland, M.D.

  • Family Medicine Physician
  • Choteau, MT
National Provider Identifier
1871556613
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4884 Issued in MT
Practice address
915 4TH St. NW
Choteau, MT 59422
Phone
(406) 466-5763
Fax
(406) 466-2159
NPI assigned
Apr 11, 2006
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4884 MT Primary

Addresses

Primary practice location

915 4TH St. NW
Choteau, MT 59422

Mailing address

915 4TH St. NW
Choteau, MT 59422
Phone (406) 466-6085

Other identifiers 2

IdentifierTypeStateIssuer
102102001MedicaidAR
560356972OtherARMEDICARELINKED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20100521000609 MT Practitioner - Family Practice 6406904747 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4884MTMDFamily Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Benefis Hospitals IncGreat Falls, MT, CCN 270012 Hospital Corporate Director Mar 1, 2012
Benefis Senior ServicesGreat Falls, MT, CCN 275012 Skilled nursing facility Corporate Director Mar 1, 2012
Benefis Senior ServicesGreat Falls, MT, CCN 275158 Skilled nursing facility Corporate Director Mar 1, 2012
Benefis Senior ServicesGreat Falls, MT, CCN 275157 Skilled nursing facility Corporate Director Mar 1, 2012
Benefis Teton Rural Health ClinicChoteau, MT, CCN 273414 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Sep 17, 2020
Jul 21, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1871556613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 4TH ST. NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "59422",
            "telephone_number": "406-466-6085",
            "fax_number": "406-466-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST. NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "59422",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "JUDY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102102001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARELINKED",
            "identifier": "560356972",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

Verify at the official NPI Registry.