JESSE JON BORMAN MD NPI 1508046418

NPI Information

  • NPI: 1508046418
  • Provider Name: JESSE JON BORMAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1789 SHAWANO AVE
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 499-1428

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NPI Details

Jesse Jon Borman, MD is a diagnostic radiology radiology in Green Bay, WI with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jesse Jon Borman, MD NPI is 1508046418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1999

The provider's business location address is:

1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303-243
Phone: (920) 499-1428

The NPI 1508046418 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.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of hip, minimum of 4 views (HCPCS:73503)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of spine, 1 view (HCPCS:72020)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of hip, minimum of 4 views (HCPCS:73503)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)

The enumeration date for this NPI number is 11/8/2007 and was last updated on 3/26/2019.

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
12085R0202XRadiologyDiagnostic Radiology42856020WISCONSINYes
22085R0202XRadiologyDiagnostic Radiology4301089461MICHIGANNo

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
135114300MEDICAIDWISCONSIN

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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