MEDICARE: BERNADETTE NICOLE BORTE MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MED-PHYS-LIC-74233	MT
2	2084N0400X	Neurology Physician	26425	MS
3	2084N0400X	Neurology Physician	15690	ND
4	2084N0400X	Neurology Physician	299421	NY
5	2084N0400X	Neurology Physician	ME139406	FL
6	2084N0400X	Neurology Physician	MD475720	PA
7	2084N0400X	Neurology Physician	MD-42067	IA
8	2084N0400X	Neurology Physician	9121	SD
9	2084N0400X	Neurology Physician	MD201000	OR
10	2084N0400X	Neurology Physician	83645	GA
11	2084N0400X	Neurology Physician	19428	NH
12	2084N0400X	Neurology Physician	4301119287	MI
13	2084N0400X	Neurology Physician	35.129823	OH
14	2084N0400X	Neurology Physician	59519	TN
15	2084N0400X	Neurology Physician	01086927A	IN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1100020330	OTHER	IN	ANTHEM PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1366678344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNADETTE NICOLE BORTE MD

Provider Business Mailing Address
First Line	:	2150 HARRISBURG PIKE
Second Line	:	SUITE 200A
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-396-9167
Fax Number	:	717-396-9064

Provider Business Practice Location Address
First Line	:	1210 W 18TH ST
Second Line	:	STE 100
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-9890
Country	:	US
Telephone Number	:	605-312-8500
Fax Number	:	605-312-8501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2009
Last Update Date	:	01/14/2026

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1210 W 18TH ST , STE 100
SIOUX FALLS, SD
57104-9890