Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elias Tylor Borne

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356060230

Elias Tylor Borne is an Emergency Medicine in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (800) 836-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Walnut St # 100, Philadelphia, PA 19107-5001 — (215) 955-6983

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1356060230 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356060230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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