PHILIP OFIMIANO BORDE JR. IDMT
NPI 1194041426
Military Health Care Provider - Independent Duty Medical Technicians in Grand Forks Afb, ND

Active since April 12, 2010
1599 JONES ST, GRAND FORKS AFB, ND 58205(701) 747-5193 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Dec 11, 2025, May 9, 2025 (3 updates tracked since 2025).

About Philip Ofimiano Borde Jr. Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP OFIMIANO BORDE JR. IDMT (NPI 1194041426) is an individual independent duty medical technicians provider in Grand Forks Afb, North Dakota and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1194041426
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NamePHILIP OFIMIANO BORDE JR.Credential: IDMT
Location Address1599 JONES STGrand Forks Afb, ND 58205
Mailing Address1599 Jones St, 319 OmrsGrand Forks Afb, ND 58205 · (701) 747-5601
Sole ProprietorNo
Enumeration DateApril 12, 2010
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1194041426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
1599 JONES ST, Grand Forks Afb, ND 58205

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Aerospace Medicine)
1599 JONES ST
GRAND FORKS, ND 58205
Dental Hygienist
1599 JONES ST
GRAND FORKS, ND 58205
Preventive Medicine (Occupational Medicine)
1599 JONES ST
GRAND FORKS AFB, ND 58205
Social Worker (Clinical)
1599 JONES ST
GRAND FORKS AFB, ND 58205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Borde's NPI number?

The NPI number for Philip Borde is 1194041426. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Philip Borde located?

Philip Borde practices at 1599 Jones St, Grand Forks Afb, ND 58205. The listed phone number is (701) 747-5193.

What is Philip Borde's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Philip Borde was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.