Philip A. Borgardt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A55468 Issued in CA

Practice address

865 Aerovista PL Ste 210
San Luis Obispo, CA 93401-8744

Phone

(805) 540-5544

Fax

(805) 528-1690

NPI assigned

Jul 13, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 5, 2017 through May 5, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eric Dunlop, DO, Inc.

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1124478243
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952326498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 AEROVISTA PL STE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018744",
            "telephone_number": "805-540-5544",
            "fax_number": "805-528-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 AEROVISTA PL STE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018744",
            "telephone_number": "805-540-5544",
            "fax_number": "805-528-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGARDT",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhaelynn Bonham, NP
• David Carlton Bonnheim, M.D.
• Wilaim David Boorman, PSYCHIATRIC TECHNICI
• Matthew Booth
• Penny Ellen Borenstein, MD
• Lana Borges
• William Joseph Borgman, RPH
• Alison Borgsmiller, ALISON
• Marlisa Borja, M.A., CCC-SLP
• Kimberly Ann Boroczi, LMFT

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.