DR. BOLLAIAH BORRA M.D. NPI 1376518464

NPI Information

  • NPI: 1376518464
  • Provider Name: DR. BOLLAIAH BORRA, M.D.
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • Address: 1000 E MOUNTAIN BLVD
    DEPT OF RADIOLOGY
    WILKES BARRE, PA
    ZIP 18711
  • Phone: (570) 826-7779

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NPI Details

DR. Bollaiah Borra, M.D. is a neuroradiology radiology in Wilkes Barre, PA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Bollaiah Borra, M.D. NPI is 1376518464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 E MOUNTAIN BLVD
DEPT OF RADIOLOGY
WILKES BARRE, PA
ZIP 18711-027
Phone: (570) 826-7779
Fax: (570) 821-2394

The enumeration date for this NPI number is 2/22/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyMD037497LPENNSYLVANIAYes
22085R0202XRadiologyDiagnostic RadiologyMD037497LPENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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