Barry Lawrence Bordonaro, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD.018171 Issued in LA

Practice address

4336 North Blvd
Suite 103
Baton Rouge, LA 70806-3920

Phone

(225) 379-3519

Fax

(225) 379-3522

NPI assigned

May 25, 2011

Sex

Male

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1982997839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-379-3519",
            "fax_number": "225-379-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 NORTH BLVD",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063920",
            "telephone_number": "225-379-3519",
            "fax_number": "225-379-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "BARRY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.018171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Bordelon, PA
• Robert Lee Bordelon III, APRN, FNP-C
• Steven K Bordelon, LCSW
• Bordelons Super Save Inc (Bordelon's Super Save Pharmacy)
• Kitzia B Bordlee, LCSW
• Armand Bennett Borel, ATP
• Brandi Nicole Boren
• Born.Bourn.Borne Counseling and Consulting, LLC
• Borne Counseling, LLC
• Borne Medical, LLC.

• General Practice Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.