Born Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BORN CLINIC, PC

Practice address

3700 52ND St SE
Grand Rapids, MI 49512-9637

Phone

(616) 656-3700

Fax

(616) 656-3701

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Julie Merrill

Title

Accounts Manager

Phone

(616) 656-3700

Specialties & licenses 1

Addresses

Other names 1

• BORN PREVENTIVE HEALTH CARE CLINIC,PC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881695484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 52ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129637",
            "telephone_number": "616-656-3700",
            "fax_number": "616-656-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 52ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129637",
            "telephone_number": "616-656-3700",
            "fax_number": "616-656-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "616-656-3700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BORN PREVENTIVE HEALTH CARE CLINIC,PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Rae Borkowski
• Victoria Ryce Borkowski
• Borman Counseling LLC
• Hannah Joy Borman, MA, LPC
• Justin Anthony Borman, PTA
• Jayme Boros, NP
• Alyssa Marie Borr, OD
• Joseph Anthony Borrello, MD
• Vyvian Carole Frane Borse-Hatchett, MD
• Daniel Komla Borti

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.