BRIAN BORNTRAGER NP NPI 1689455545

NPI Information

  • NPI: 1689455545
  • Provider Name: BRIAN BORNTRAGER, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3510 BRENBROOK DR
    RANDALLSTOWN, MD
    ZIP 21133
  • Phone: (410) 837-2050

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NPI Details

Brian Borntrager, NP is a family nurse practitioner in Randallstown, MD with 3 years of experience. Brian Borntrager, NP NPI is 1689455545. 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:

3510 BRENBROOK DR
RANDALLSTOWN, MD
ZIP 21133-902
Phone: (410) 837-2050

The NPI 1689455545 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 enumeration date for this NPI number is 10/6/2023 and was last updated on 11/20/2023.

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
1363LF0000XNurse PractitionerFamilyR206185MARYLANDYes

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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