Active NPI
Henry M Born MD PC
- Family Medicine Physician
- Hokes Bluff, AL
National Provider Identifier
1932418860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HENRY M BORN MD PC
- Practice address
- 3871 Old US Highway 278 E
Hokes Bluff, AL 35903-7507 - Phone
- (256) 492-0544
- Fax
- (256) 492-0558
- NPI assigned
- Sep 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry M Born, MD
- Title
- President
- Phone
- (256) 492-0544
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X |
Addresses
Primary practice location
3871 Old US Highway 278 E
Hokes Bluff, AL 35903-7507
Mailing address
3871 Old US Highway 278 E
Hokes Bluff, AL 35903-7507
Phone (256) 492-0544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009953560 | Medicaid | AL | |
| 51503789 | Other | AL | BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Anesthesiology) Physician
- Gadsden, AL
- NPI 1508823279
-
- Nurse Practitioner
- Huntsville, AL
- NPI 1942235593
-
- Family Medicine Physician
- Henagar, AL
- NPI 1992786636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285545600000",
"number": "1932418860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 OLD US HIGHWAY 278 E",
"city": "HOKES BLUFF",
"state": "AL",
"postal_code": "359037507",
"telephone_number": "256-492-0544",
"fax_number": "256-492-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3871 OLD US HIGHWAY 278 E",
"city": "HOKES BLUFF",
"state": "AL",
"postal_code": "359037507",
"telephone_number": "256-492-0544",
"fax_number": "256-492-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY M BORN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A",
"authorized_official_last_name": "BORN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-492-0544",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009953560",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "51503789",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hokes Bluff, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.