MEDICARE: HELEN A BORGENHEIMER MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01058856	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01058856	OTHER	IN	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1386696532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN A BORGENHEIMER MD

Provider Business Mailing Address
First Line	:	1200 W WHITE RIVER BLVD
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-4988
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PILGRIM BLVD
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348-1382
Country	:	US
Telephone Number	:	765-348-5776
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	12/17/2020

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