Organization Active NPI

Alzheimer'S Treatment Center

  • Neurology Physician
  • Alva, FL
National Provider Identifier
1053085829
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ALZHEIMER'S TREATMENT CENTER
Doing business as
Alzheimer's Treatment Center
Practice address
18301 Telegraph Creek LN
Alva, FL 33920-3141
Phone
(239) 204-7307
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Wendy Robinson Bond, MD
Title
Sole Proprietor
Phone
(239) 204-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

18301 Telegraph Creek LN
Alva, FL 33920-3141

Mailing address

18301 Telegraph Creek LN
Alva, FL 33920-3141
Phone (239) 204-7307

Other identifiers 1

IdentifierTypeStateIssuer
273483400MedicaidFL

Other names 1

  • Alzheimer's Treatment Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1053085829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 TELEGRAPH CREEK LN",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203141",
            "telephone_number": "239-204-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 TELEGRAPH CREEK LN",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203141",
            "telephone_number": "239-204-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "239-204-7307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273483400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alzheimer's Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alva, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.