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CHRISTOPHER JACOB BORDELON PA-C
NPI 1548756893
Physician Assistant - Medical in Tampa, FL

Active since July 10, 2018PECOS Enrolled
2550 W DR MARTIN LUTHER KING JR BLVD STE B, TAMPA, FL 33607(813) 876-6483 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2021, Dec 12, 2018, Jul 10, 2018 (3 updates tracked since 2018).

About Christopher Jacob Bordelon Pa-c NPPES

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

CHRISTOPHER JACOB BORDELON PA-C (NPI 1548756893) is an individual medical provider in Tampa, Florida, licensed in Missouri (2018024459) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548756893
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHRISTOPHER JACOB BORDELONCredential: PA-C
Location Address2550 W DR MARTIN LUTHER KING JR BLVD STE BTampa, FL 33607-6302
Mailing Address10414 Nightengale DrRiverview, FL 33569-4125 · (813) 789-0565
Phone(813) 876-6483
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateSeptember 15, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1548756893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MO · 2018024459✔ Licensed in FL · PA9111443
2550 W DR MARTIN LUTHER KING JR BLVD STE B, Tampa, FL 33607
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1946 E Reed StHayti, MO 63851-1243 · Phone (573) 359-1372
Location 2304 Teaco RdKennett, MO 63857-3266 · Phone (573) 888-8828

Other Identifiers 1

Medicaid101257900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Jacob Bordelon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
117 services116 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Other Providers at the Same Location NPPES

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

PAYTON GRIPP APRN
Nurse Practitioner (Pediatrics)
2550 W DR MARTIN LUTHER KING JR BLVD STE B
TAMPA, FL 33607
Hillsborough County (813) 876-6483

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 Christopher Bordelon's NPI number?

The NPI number for Christopher Bordelon is 1548756893. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Christopher Bordelon located?

Christopher Bordelon practices at 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607. The listed phone number is (813) 876-6483.

What is Christopher Bordelon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Christopher Bordelon enrolled in Medicare?

Yes. Christopher Bordelon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Bordelon was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.