BRADLEY BORSARI (MD) – Internal Medicine Physician, NPI 1104826619

BRADLEY BORSARI (MD) is a healthcare provider. based in Fullerton, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A76554B (CA). The NPI Number for BRADLEY BORSARI (MD) is 1104826619

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY BORSARI (MD)
NPI
1104826619
Phone
(714) 626-8610
Address
2141 N HARBOR BLVD
Enumeration Date
26 July 2005
Last Update Date
25 April 2013

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
7149925350
Graduation Year
1999 (27 years ago)
PAC ID
9032390695
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20110302000344
Address ID
CA928353641FU1950XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for BRADLEY BORSARI (MD)

  • 2141, North Harbor Boulevard, Fullerton, Orange County, California, 92835, United States

    SUITE 25000

    FULLERTON, CA 928353827

    Phone: (714) 626-8610

    Fax: (714) 626-8655

    Type: Location

  • 279 IMPERIAL HWY

    SUITE 730

    FULLERTON, CA 928351041

    Phone: (714) 449-4841

    Fax: (714) 449-4956

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110302000344IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77080Dxa bone density measurement of hip, pelvis, spine432432$0
99214Established patient office or other outpatient visit, 30-39 minutes392290$0
99213Established patient office or other outpatient visit, 20-29 minutes308241$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit227227$0
85610Blood test, clotting time9911$0
View full utilization report →

Insurance plans in this area (ZIP 92835)

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Provider's Procedures

BRADLEY BORSARI (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA90670Pneumococcal vaccine for injection into muscle1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

Where can patients find BRADLEY BORSARI (MD)'s NPI?
You can confirm BRADLEY BORSARI (MD) with NPI 1104826619; it appears in the national provider directory.
Is BRADLEY BORSARI (MD) active in the national directory?
BRADLEY BORSARI (MD)'s public NPI profile is in an active state.
Can you summarize BRADLEY BORSARI (MD)'s specialty in plain language?
Clinically, the directory lists BRADLEY BORSARI (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BRADLEY BORSARI (MD)?
The snapshot lists Fullerton, California for BRADLEY BORSARI (MD); download NPPES for the complete set.
How can I contact BRADLEY BORSARI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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