NPIMap

Organization Active NPI

Golden Triangle Urology PLLC

  • Urology Physician
  • Columbus, MS
National Provider Identifier
1144460064
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12474 Issued in MS
Legal business name
GOLDEN TRIANGLE UROLOGY PLLC
Practice address
321 Hospital Dr
Suite 1
Columbus, MS 39705-1920
Phone
(662) 327-2921
Fax
(662) 328-6858
NPI assigned
Mar 5, 2009
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Dr. Kevin H Bond, M.D.NPI 1841290392
Title
Physician
Phone
(662) 327-2921

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
Urology Physician 208800000X 12474 MS Primary

Addresses

Primary practice location

321 Hospital Dr
Suite 1
Columbus, MS 39705-1920

Mailing address

321 Hospital Dr
Suite 1
Columbus, MS 39705-1920
Phone (662) 327-2921

Other identifiers 4

IdentifierTypeStateIssuer
109115MedicaidAL
730-19417OtherALBLUE CROSS BLUE SHIELD
01726810MedicaidMS
DP0484OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

321 Hospital Dr
#1
Columbus, MS 39705
Phone (662) 327-2921

321 Hospital Dr
Ste 1
Columbus, MS 39705
Phone (662) 327-2921

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1144460064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-327-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "12474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109115",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "730-19417",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01726810",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.