Active NPI
Judy E Borland, M.D.
- Family Medicine Physician
- Choteau, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4884
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102102001 | Medicaid | AR | |
| 560356972 | Other | AR | MEDICARELINKED |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4884 | MT | MD | Family 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Benefis Hospitals Inc | Hospital | Corporate Director | Mar 1, 2012 |
| Benefis Senior Services | Skilled nursing facility | Corporate Director | Mar 1, 2012 |
| Benefis Senior Services | Skilled nursing facility | Corporate Director | Mar 1, 2012 |
| Benefis Senior Services | Skilled nursing facility | Corporate Director | Mar 1, 2012 |
| Benefis Teton Rural Health Clinic | 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.
-
dba Benefis Teton Medical Center
- Critical Access Hospital
- Choteau, MT
- NPI 1083602205
Operational/Managerial Control, W-2 Managing Employee
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Corporate Director
-
dba Benefis Senior Services
- Skilled Nursing Facility
- Great Falls, MT
- NPI 1770590689
Corporate Director
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
Corporate Director
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.
-
dba Benefis Teton Medical Center
- Critical Access Hospital
- Choteau, MT
- NPI 1083602205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.