Jessica D. Bordon, DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1955 Issued in TX

Legal business name

JESSICA D. BORDON, DPM, PA

Practice address

1583 Common St Ste 100
New Braunfels, TX 78130-3174

Phone

(830) 500-3034

Fax

(830) 515-1712

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Austin Kelly

Title

Manager

Phone

(830) 214-6411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Dawn Bordon, DPM

  • Podiatrist
  • New Braunfels, TX
  • NPI 1558514026
  Medicare reassignment NPD

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1891229530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 COMMON ST STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303174",
            "telephone_number": "830-500-3034",
            "fax_number": "830-515-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 COMMON ST STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303174",
            "telephone_number": "830-500-3034",
            "fax_number": "830-515-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA D. BORDON, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "830-214-6411"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay L Gruhlkey MD PA
• Jeffrey Glass MD PLLC
• Kylie Jenkins
• Karen D. Jennett, MA, NCC, LPC-INTERN
• Jennifer a. Mitchell PLLC
• Jay L Jeter, LPC
• Jill a. Lee Counseling, PLLC
• Bianca Lynn Jimenez, PTA
• John Edward Delhagen IV, MD, PA
• John H. Anderson, MD, P.a.

• Podiatrist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.