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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Avon, CT · Specialist in Connecticut

Sources for this page

Verify at the official NPI Registry.