Bon-Bone Medical Imaging, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BON-BONE MEDICAL IMAGING, INC.

Practice address

6499 38TH Ave N
Suite G2
St Petersburg, FL 33710-1656

Phone

(727) 341-2866

Fax

(727) 341-2876

NPI assigned

Jun 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karen Hardy

Title

Billing Manager

Phone

(561) 753-8557

Specialties & licenses 1

Addresses

Other identifiers 12

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benidecto Fernandez, MD

  • Rheumatology Physician
  • Hialeah, FL
  • NPI 1164607016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013950401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 SEMINOLE PRATT WHITNEY RD",
            "address_2": "STE. 25-166",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702468",
            "telephone_number": "800-664-2663",
            "fax_number": "561-792-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N",
            "address_2": "SUITE G2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101656",
            "telephone_number": "727-341-2866",
            "fax_number": "727-341-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON-BONE MEDICAL IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-753-8557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "579259",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "102686",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "137014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2243437",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2243421",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2592718",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V1836",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V1267",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7723768",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V1173",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V1761",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2243431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bond W Thomas DC PA (Bond Thomas Chiropractic)
• Sandra Lynn Bond
• Adriana Bonilla, O.T
• Eileen D Bonilla, LMHC
• Yolanda Bonilla, MD

• Diagnostic Radiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.