MEDICARE: DR. JOSEPH E BORNSTEIN MD, MBA

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	208600000X	Surgery Physician	272632	NY
2	208600000X	Surgery Physician	L-239969	MA
3	208600000X	Surgery Physician	MD.34455	AL

General Provider Information

NPI Number	:	1629205182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH E BORNSTEIN MD, MBA

Provider Business Mailing Address
First Line	:	6701 AIRPORT BLVD STE D143
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-6701
Country	:	US
Telephone Number	:	251-342-3949
Fax Number	:	251-266-3361

Provider Business Practice Location Address
First Line	:	6701 AIRPORT BLVD STE A208
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-3763
Country	:	US
Telephone Number	:	251-633-1981
Fax Number	:	251-631-3298

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

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	02/11/2019

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