Individual
MR. BRIAN BAHMAN BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHSC
Contact information
Practice address
971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
(769) 251-5674
(769) 243-8130
Mailing address
971 LAKELAND DR STE 1159, JACKSON, MS 39216-4609
(769) 251-5674
(769) 243-8130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D 0059992
MD
207RG0100X
Gastroenterology Physician
036177807
IL
207RG0100X
Gastroenterology Physician
2023026998
MO
207RG0100X
Gastroenterology Physician
Primary
202825
LA
207RG0100X
Gastroenterology Physician
22079
MS
207RI0008X
Hepatology Physician
2023026998
MO
207RI0008X
Hepatology Physician
22079
MS
207RI0008X
Hepatology Physician
MD.202825
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752313
—
MS
05
—
1887056
—
LA
05
—
200128917
—
MO
Enumeration date
08/30/2006
Last updated
12/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us