MR. BARRY LAWRENCE BORDONARO M.D.
NPI 1982997839
General Practice in Baton Rouge, LA

Q: What is Barry Bordonaro's NPI number?

The NPI number for Barry Bordonaro is 1982997839. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Q: What is Barry Bordonaro's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Barry Bordonaro was last updated on May 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2011PECOS Enrolled

4336 NORTH BLVD, SUITE 103, BATON ROUGE, LA 70806(225) 379-3519(225) 379-3522 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Barry Lawrence Bordonaro M.d. NPPES

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

MR. BARRY LAWRENCE BORDONARO M.D. (NPI 1982997839) is an individual general practice provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.018171) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982997839

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMR. BARRY LAWRENCE BORDONAROCredential: M.D.

Location Address4336 NORTH BLVD, SUITE 103Baton Rouge, LA 70806-3920

Mailing Address4336 North Blvd, Suite 103Baton Rouge, LA 70806-3920 · (225) 379-3519 · Fax (225) 379-3522

Phone(225) 379-3519

Fax(225) 379-3522

Sole ProprietorNo

Enumeration DateMay 25, 2011

✔ NPI 1982997839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in LA · MD.018171

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4336 NORTH BLVD, Baton Rouge, LA 70806

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Barry Lawrence Bordonaro M.d. 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.

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