JORDAN L. BORMANN MD
NPI 1952925455
Dermatology in Salt Lake City, UT

Q: What is Jordan Bormann's NPI number?

The NPI number for Jordan Bormann is 1952925455. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Q: What is Jordan Bormann's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bormann was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E RM 4A330, SALT LAKE CITY, UT 84132(801) 581-6465 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Aug 10, 2022, May 18, 2022 and 2 more (5 updates tracked since 2020).

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About Jordan L. Bormann Md NPPES

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

JORDAN L. BORMANN MD (NPI 1952925455) is an individual dermatology provider in Salt Lake City, Utah, licensed in Utah (12974631-1205) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1952925455

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJORDAN L. BORMANNCredential: MD

Location Address30 N 1900 E RM 4A330Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 4a330Salt Lake City, UT 84132-0002 · (801) 581-6465

Phone(801) 581-6465

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2021

Enumeration DateJune 1, 2020

Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1952925455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in UT · 12974631-1205

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

30 N 1900 E RM 4A330, Salt Lake City, UT 84132

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Secondary Practice Location 1

Location 11400 W 22nd StSioux Falls, SD 57105-1554 · Phone (605) 505-0515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan L. Bormann Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709280886

PECOS Enrollment IDI20250912004042

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

CAITLIN MARIE BOLENDER MD

Dermatology