Borg, Brian Bahman
Borg, Brian Bahman is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1159 , Jackson MS 39216-4609. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Borg, Brian Bahman can be contacted via phone (769) 251-5674.Contact Information
Primary practice address
971 Lakeland Dr Ste 1159
Jackson MS 39216-4609
Phone: (769) 251-5674
Fax: (769) 243-8130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 22079 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D 0059992 | Maryland |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2023026998 | Missouri |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD.202825 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 202825 | Louisiana |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 2023026998 | Missouri |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 22079 | Mississippi |
Profile Details
| NPI number | 1902916778 |
|---|---|
| LBN Legal business name | Borg, Brian Bahman |
| Credentials | MD, MHSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 28th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902916778 | NPPES |
| Louisiana | MEDICAID | 1887056 | |
| Louisiana | MEDICAID | 02752313 | |
| Louisiana | MEDICAID | 200128917 |
Popular Providers
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