Gordon Borkat, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

030959 Issued in GA

Practice address

705 17TH St
Ste 406
Columbus, GA 31901-3500

Phone

(770) 488-9212

Fax

(678) 547-1494

NPI assigned

Jun 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1992743140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BRANDYWINE RD",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415510",
            "telephone_number": "770-488-9202",
            "fax_number": "678-547-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 17TH ST",
            "address_2": "STE 406",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013500",
            "telephone_number": "770-488-9212",
            "fax_number": "678-547-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKAT",
        "first_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "030959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00594613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boost Your Life Counseling and Consulting, LLC
• Sarah Jane Booth, LPC
• Maria Elizabeth Borelli, M.D.
• Bruce A Boretsky, DMD
• Nathan Tyler Borget, MAED, LAT, ATC, CSCS
• Michael J. Borkat, M.D.
• Samantha Lyn Boroughs, MD
• Danielle Borr
• Curtis G. Borum, PT
• Melissa C Bosch, LPC, NCC

• Pediatric Cardiology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Pediatric Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.