Justin Wayne Bordeaux, PA
Justin Wayne Bordeaux, PA is a Physician Assistant in Youngsville, North Carolina. Qualified in 2012, 14 years ago. Practices with Granville Health System, a 80-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 14
- Licensed in
- NC
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
700 US 1 Hwy Ste 100Youngsville, NC 27596-7873
Phone: (919) 562-2340
Fax: (919) 562-2315
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-04057 (NC) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 0010-04057 (NC) |
Record details
| NPI number | 1366780033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 30, 2013 |
| Last updated in NPPES | May 18, 2023 |
| Certification date | May 18, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Granville Health System — 80 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |