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DR. FREDERICK WILLIAM BORN D.O.
NPI 1295735751
Family Medicine in Saint Joseph, MI

Active since July 27, 2005
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085(269) 429-2992(269) 429-3372 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Frederick William Born D.o. NPPES

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

DR. FREDERICK WILLIAM BORN D.O. (NPI 1295735751) is an individual family medicine provider in Saint Joseph, Michigan, licensed in Michigan (510 100 9712) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1295735751
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FREDERICK WILLIAM BORNCredential: D.O.
Location Address4077 S CLEVELAND AVESaint Joseph, MI 49085-9513
Mailing Address4077 S Cleveland AveSaint Joseph, MI 49085-9513 · (269) 429-2992 · Fax (269) 429-3372
Phone(269) 429-2992
Fax(269) 429-3372
Sole ProprietorYes
Enumeration DateJuly 27, 2005
Last NPPES UpdateOctober 27, 2011
✔ NPI 1295735751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 510 100 9712
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4077 S CLEVELAND AVE, Saint Joseph, MI 49085
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Other Identifiers 2

Medicare UPINE 48371
Medicare ID-Type Unspecified5114777MI

Other Providers at the Same Location NPPES 8

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

MS. HILARY CHRISTINE SLEMP N.P.
Nurse Practitioner (Family)
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
ABIGAIL MAE MAHONEY PA-C
Physician Assistant
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
BAILEY UGGERI
Physician Assistant
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
FREDERICK W. BORN
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
LAKELAND MEDICAL PRACTICES
Clinic/Center
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
ARLEEN C. LAWSON WILLEY PA-C
Physician Assistant (Medical)
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
DR. DOUGLAS GREGORY TACKET D.O.
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
DR. DANIEL BENSON II D.O.
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992

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 Frederick Born's NPI number?

The NPI number for Frederick Born is 1295735751. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Frederick Born located?

Frederick Born practices at 4077 S Cleveland Ave, Saint Joseph, MI 49085. The listed phone number is (269) 429-2992.

What is Frederick Born's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Frederick Born was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.