Active NPI
Laura Michelle Borman, MD
- Emergency Medicine Physician
- Boynton Beach, FL
National Provider Identifier
1972869790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME136395
- Practice address
- 2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969 - Phone
- (212) 523-4000
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME136395 | FL | Primary |
Addresses
Primary practice location
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Mailing address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136395 | FL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1972869790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 S SEACREST BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S SEACREST BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357969",
"telephone_number": "212-523-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORMAN",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME136395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.