Bruce P. Bordlee in Lake Charles - Diagnostic Radiology

Bruce P. Bordlee - NPI 1609859594

Bruce P. Bordlee is a Diagnostic Radiology in Lake Charles, Louisiana. Bruce P. Bordlee practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bruce P. Bordlee is 1609859594. The last update date is 2023-03-07.

Bruce P. Bordlee's current location address is 1800 Ryan St, Lake Charles, Louisiana. You can contact this provider via phone number 3374394706 and fax number 3374398110. The mailing address for Bruce P. Bordlee is 1800 Ryan St, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce P. Bordlee
Address 1800 Ryan St, Lake Charles, Louisiana
Phone Number 3374394706
Fax Number 3374398110
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1609859594
Provider Enumeration Date 2005-11-23
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1800 Ryan St
City Lake Charles
State Louisiana (LA)
Post Code 706016078
Phone Number 3374394706
Fax Number 3374398110

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 16057
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1349798 LA --
16570 LA CDS
300036309 RAILROAD MEDICARE

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FAQs about Bruce P. Bordlee

What is the Bruce P. Bordlee's 1609859594?

The Bruce P. Bordlee's NPI (National Provider Identifier) Number is 1609859594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Bruce P. Bordlee's facilities are geographically located?

The facilities of Bruce P. Bordlee are physically situated at the following location: 1800 Ryan St, Lake Charles, LA, 706016078.

What is the Bruce P. Bordlee's specialty and taxonomy code?

The Bruce P. Bordlee's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date was the 1609859594 assigned to Bruce P. Bordlee?

The Bruce P. Bordlee was issued its 1609859594 on 2005-11-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Bruce P. Bordlee, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bruce P. Bordlee, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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