Provider Demographics
NPI:1417648635
Name:BORGERT, BENJAMIN JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:JOSEPH
Last Name:BORGERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MANNING DRIVE CAMPUS BOX 7235
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7235
Mailing Address - Country:US
Mailing Address - Phone:352-727-8466
Mailing Address - Fax:919-966-0098
Practice Address - Street 1:101 MANNING DRIVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4423
Practice Address - Country:US
Practice Address - Phone:352-727-8466
Practice Address - Fax:919-966-0098
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program