Steven David Bond, M.D.
Individual provider Active NPI Specialist · Avon, CT
NPI 1043387384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043387384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 022869 (CT)
- Practice address
- 34 Dale Rd
Avon, CT 06001-3659 - Phone
- (860) 677-0079
- Fax
- (860) 677-4785
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 022869 | CT | Yes |
Addresses
Primary practice location
34 Dale Rd
Avon, CT 06001-3659
Mailing address
34 Dale Rd
Suite 208
Avon, CT 06001-3659
Phone (860) 677-0079
NPI Registry JSON
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043387384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 DALE RD",
"address_2": "SUITE 208",
"city": "AVON",
"state": "CT",
"postal_code": "060013659",
"telephone_number": "860-677-0079",
"fax_number": "860-677-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 DALE RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013659",
"telephone_number": "860-677-0079",
"fax_number": "860-677-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "STEVEN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "022869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.