Healthcare Provider Details

I. General information

NPI: 1740197151
Provider Name (Legal Business Name): ROBERT WALKER BORGMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 CRAIN HWY S
GLEN BURNIE MD
21061-4027
US

IV. Provider business mailing address

PO BOX 307
LINTHICUM HEIGHTS MD
21090-0307
US

V. Phone/Fax

Practice location:
  • Phone: 443-905-6495
  • Fax:
Mailing address:
  • Phone: 443-905-6495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: