Active NPI
Sharon J Bonds, M.D.
- Pediatrics Physician
- Decatur, IL
National Provider Identifier
1083612873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-041151
- Practice address
- 2300 N Edward St
Decatur, IL 62526-4163 - Phone
- (217) 876-8121
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-041151 | IL | Primary |
Addresses
Primary practice location
2300 N Edward St
Decatur, IL 62526-4163
Mailing address
724 Crystal CT
Decatur, IL 62526-9280
Phone (217) 877-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-041151 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1083612873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 CRYSTAL CT",
"city": "DECATUR",
"state": "IL",
"postal_code": "625269280",
"telephone_number": "217-877-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "217-876-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDS",
"first_name": "SHARON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-041151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.