Randel Bond, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cibolo, TX
NPI 1104427335 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1104427335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1002582 (TX)
- Practice address
- 337 Woodstone Loop
Cibolo, TX 78108-3268 - Phone
- (210) 995-2007
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elder Care Behavioral Health Services PLLC
Practice addresses (Care Compare)
1810 Old Granger
Taylor, TX 76574-3564
Phone (512) 352-6337
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210524000383 | TX | Practitioner - Nurse Practitioner | 8820497969 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002582 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychcare of San Antonio I, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Elder Care Behavioral Health Services PLLC | Current |
Accepting new patients | |
| Yun W Kim, MD, PA | Past |
Accepting new patients |
Locations
1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815
1810 Old Granger
#S
Taylor, TX 76574
Phone (512) 352-6337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1002582 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1002582 | TX | Yes |
Addresses
Primary practice location
337 Woodstone Loop
Cibolo, TX 78108-3268
Mailing address
337 Woodstone Loop
Cibolo, TX 78108-3268
Phone (210) 995-2007
Other providers in Cibolo, TX
- Kehley Nicole Beverly
- Steven Bilbrey
- Romairo Arlando Blackstock
- Jennifer Raenett Blackwell
- Blissful Essence Mind & Body Solutions, LLC
- Jayci Boudreaux-Stewart
- David Robert Bretzke
- Bianca Jade Briseno
- Ina Larisa Brown
- Angela Denise Browne
All providers in Cibolo, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.