Organization Active NPI

Woodlands Neurology Clinic PLLC

  • Neurology Physician
  • Shenandoah, TX
National Provider Identifier
1124509765
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
WOODLANDS NEUROLOGY CLINIC PLLC
Practice address
129 Vision Park Blvd Ste 201
Shenandoah, TX 77384-3024
Phone
(936) 267-0912
Fax
(936) 267-0935
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Authorized official

Name
Laura Belorgey Bonds, MDNPI 1295919116
Title
Owner/Physician
Phone
(936) 267-0912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

129 Vision Park Blvd Ste 201
Shenandoah, TX 77384-3024

Mailing address

129 Vision Park Blvd Ste 201
Shenandoah, TX 77384-3024
Phone (936) 267-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181011002236 TX Part B Supplier - Clinic/Group Practice 3577815901 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

129 Vision Park Blvd
Ste 201
Shenandoah, TX 77384
Phone (369) 267-0912

129 Vision Park Blvd
Ste 306
Shenandoah, TX 77384
Phone (936) 256-3883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1124509765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 201",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-267-0912",
            "fax_number": "936-267-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 201",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-267-0912",
            "fax_number": "936-267-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS NEUROLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "BELORGEY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "936-267-0912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.