Active NPIIndividual provider

Dr. Clinton J Borchardt, MD

Family Medicine in Hanscom Afb, Massachusetts

NPI Number1588004220
Practice location
90 Vandenberg Dr, Hanscom Afb, MA 01731-2104
Fax
—
Last updated
November 6, 2023

Clinton James Borchardt is a Family Medicine based in Hanscom Afb, MA. Clinton James Borchardt practices in Hanscom Afb, MA and has the professional credentials of MD. The NPI Number for Clinton James Borchardt is 1588004220 and holds a License No. 28453 (NE). The current practice location address for Clinton James Borchardt is 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 and can be reached out via phone at 812-255-6304.

Provider Profile Details

NPI Number
1588004220
Provider Name
Clinton James Borchardt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Vandenberg Dr, Hanscom Afb, MA 01731-2104
Phone Number
812-255-6304
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2013
Last Update Date
November 6, 2023
Certification Date
November 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Zip
01731-2104
Phone Number
812-255-6304
Hanscom Afb, MA 01731Get directions →

Provider Business Mailing Address Details

Address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
City
Hanscom Afb
State
MA
Zip
01731-2104

License Information

License Number
28453
License State
NE
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Clinton J Borchardt, MD?

The NPI number of Dr. Clinton J Borchardt, MD is 1588004220. It was assigned on June 26, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Clinton J Borchardt, MD?

Dr. Clinton J Borchardt, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NE under license number 28453.

Where does Dr. Clinton J Borchardt, MD practice?

The practice location is 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104. The office can be reached at 812-255-6304 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588004220 directly on the NPPES registry website.

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