Jonathan David Bortz, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

R4H64 Issued in MO

Practice address

8117 Stanford Ave
Saint Louis, MO 63130-3617

Phone

(314) 863-1235

NPI assigned

Aug 2, 2010

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1992019921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 STANFORD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303617",
            "telephone_number": "314-863-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 STANFORD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303617",
            "telephone_number": "314-863-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "R4H64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste A Borowiak, RPH
• Susan L Borrenpohl, CRNA
• M Lee Borrine, PH.D.
• Mackenzie Elizabeth Borrowman, PT, DPT, GCS
• Michael Borts, M.D.
• Temeaka S Borum, RN
• Terrell Borum, LCSW
• James Percival Bosanquet, MD
• Georgene Bosaw, CRNA
• Chelsea Marie Bosch, PHD

• Endocrinology, Diabetes & Metabolism Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.