DR. CHARLES D BORUM M.D. NPI 1417042979

NPI Information

  • NPI: 1417042979
  • Provider Name: DR. CHARLES D BORUM, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 131 JEFFERSON DAVIS BLVD.
    SUITE F
    NATCHEZ, MS
    ZIP 39120
  • Phone: (601) 442-0200

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NPI Details

DR. Charles D Borum, M.D. is a specialist in Natchez, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Charles D Borum, M.D. NPI is 1417042979. 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:

131 JEFFERSON DAVIS BLVD.
SUITE F
NATCHEZ, MS
ZIP 39120
Phone: (601) 442-0200
Fax: (601) 445-0210

The NPI 1417042979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hemoglobin a1c level (HCPCS:83036)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Automated urinalysis test (HCPCS:81003)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood count, hemoglobin (HCPCS:85018)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Blood glucose (sugar) level (HCPCS:82947)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist10244MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080000283MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
2D00969MEDICARE UPINMISSISSIPPI
300015972MEDICAIDMISSISSIPPI

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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