Ethan Caleb Bonds, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12210635 Issued in AL

Practice address

2986 US Highway 431
Boaz, AL 35957-5848

Phone

(256) 840-8181

NPI assigned

Jan 5, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Gadsden HB Medical Services LLCGroup PAC ID 4183078561, 58 clinicians

Marshall Medical Center SouthGroup PAC ID 9234302290, 22 clinicians

Southern Divine Family Medical Center LLCGroup PAC ID 0648692582, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gadsden HB Medical Services LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1750061610
  Medicare reassignment Care Compare group NPD
• Marshall Medical Center South

  dba South Emergency Physicians

  • Emergency Medicine Physician
  • Boaz, AL
  • NPI 1760765028
  Medicare reassignment Care Compare group NPD
• Southern Divine Family Medical Center LLC

  dba United Doctors Family Medical Center - Altoona

  • Internal Medicine Physician
  • Altoona, AL
  • NPI 1104456920

  Family

  Medicare reassignment Care Compare group NPD
• Alabama Physicians Group LLC

  • Emergency Medicine Physician
  • Anniston, AL
  • NPI 1750062527
  Medicare reassignment NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Gana Holdings, LLC

  dba United Doctors Family Medical Center - Snead

  • Internal Medicine Physician
  • Snead, AL
  • NPI 1396375267
  Medicare reassignment NPD
• Magnolia Medical LLC

  dba United Doctors Family Medical Center Sand Rock

  • Family Medicine Physician
  • Sandrock, AL
  • NPI 1851976054
  Medicare reassignment NPD
• United Doctors Family Medical Center LLC

  • Internal Medicine Physician
  • Boaz, AL
  • NPI 1013313709
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  dba Northeast Alabama Regional Medical Center

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1154082758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MOUNTAIN DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043238",
            "telephone_number": "256-506-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "ETHAN",
        "middle_name": "CALEB",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F12210635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boaz City Schools
• Boaz Discount Drugs Inc
• Boaz Discount Drugs Inc
• Boaz Family Medicine, PC
• Joy Rotton Bolt, CRNA
• Elizabeth Bradford
• Brandon Jones Inc (Clark's Pharmacy)
• Maury Bray III, M.D.
• Briggs Endeavors LLC
• Casey Brooks, LAT, ATC

• Family Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.