DR. RANDY M BORK DO NPI 1942291893

NPI Information

NPI: 1942291893
Provider Name: DR. RANDY M BORK, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1254 N MAIN ST
LAPEER, MI
ZIP 48446
Phone: (810) 664-4531
Get Directions

DR. Randy M Bork, DO is a family medicine in Lapeer, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Randy M Bork, DO NPI is 1942291893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1254 N MAIN ST
LAPEER, MI
ZIP 48446-343
Phone: (810) 664-4531
Fax: (810) 667-7337

The enumeration date for this NPI number is 10/31/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		5101006422	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E26538	OTHER	MICHIGAN	FEDERAL HEALTH SERVICES
2	C1516	OTHER	MICHIGAN	MCARE
3	0854432194	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
4	0M28430	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	E26538	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
6	3303639	MEDICAID	MICHIGAN
7	201542	OTHER	MICHIGAN	HEALTH ADVANTAGE NETWORK
8	E26538	MEDICARE UPIN	MASSACHUSETTS
9	201542	OTHER	MASSACHUSETTS	MCLAREN HEALTH PLAN
10	4133944	OTHER	MICHIGAN	AETNA
11	0832195	OTHER	MICHIGAN	HEALTH PLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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