Individual provider Active NPI

Joan Elizabeth Borrege, M.D.

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1891838306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17403 Issued in NE
Practice address
7832 Davenport St
Omaha, NE 68114-3629
Phone
(402) 397-5754
Fax
(402) 397-5846
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17403 NE Primary

Addresses

Primary practice location

7832 Davenport St
Omaha, NE 68114-3629

Mailing address

7832 Davenport St
Omaha, NE 68114-3629
Phone (402) 397-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20101026000741 NE Practitioner - Internal Medicine 9032302781 Practice locations: Omaha, NE

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7832 Davenport St
Omaha, NE 68114-3629
Phone (402) 397-5754

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17403NEMDInternal Medicine Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891838306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7832 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-397-5754",
            "fax_number": "402-397-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7832 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-397-5754",
            "fax_number": "402-397-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGE",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.