Dr. Bradley C Borlase, MD
Emergency Medicine in Providence, Rhode Island
1982621710- Practice location
- 830 Chalkstone Ave, Providence, RI 02908-4734
- Phone
- 401-273-7100
- Fax
- 401-525-2562
- Last updated
- July 8, 2007
Bradley Clark Borlase is an Emergency Medicine based in Providence, RI. Bradley Clark Borlase practices in Providence, RI and has the professional credentials of MD. The NPI Number for Bradley Clark Borlase is 1982621710 and holds a License No. 59670 (MA). The current practice location address for Bradley Clark Borlase is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100 and via fax at 401-525-2562.
Provider Profile Details
- NPI Number
- 1982621710
- Provider Name
- Bradley Clark Borlase
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 830 Chalkstone Ave, Providence, RI 02908-4734
- Phone Number
- 401-273-7100
- Fax Number
- 401-525-2562
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 16, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 830 Chalkstone Ave
Providence, RI 02908-4734 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4734
- Phone Number
- 401-273-7100
- Fax Number
- 401-525-2562
Provider Business Mailing Address Details
- Address
- 13 Tisdale Dr
Dover, MA 02030-1644 - City
- Dover
- State
- MA
- Zip
- 02030-1644
- Phone Number
- 508-380-4224
License Information
- License Number
- 59670
- License State
- MA
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Bradley C Borlase, MD?
The NPI number of Dr. Bradley C Borlase, MD is 1982621710. It was assigned on July 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bradley C Borlase, MD?
Dr. Bradley C Borlase, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 59670.
Where does Dr. Bradley C Borlase, MD practice?
The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone) or 401-525-2562 (fax).
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 1982621710 directly on the NPPES registry website.