Takirah Bond, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012933 Issued in MI

Practice address

13450 E 12 Mile Rd
Warren, MI 48088-3671

Phone

(586) 759-5525

Fax

(586) 759-4022

NPI assigned

Mar 25, 2025

Sex

Female

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 MI

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Advanced Dermatology of Michigan PC

  • Dermatology Physician
  • Wyandotte, MI
  • NPI 1851708929
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1184426694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21759 HUNTER CIR N",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42505 Woodward Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483045148",
            "country_code": "US",
            "telephone_number": "248-353-0818",
            "fax_number": "248-353-6717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16826 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-464-8400",
            "fax_number": "734-464-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13717 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483152907",
            "country_code": "US",
            "telephone_number": "586-580-9417",
            "fax_number": "586-884-8274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481926103",
            "country_code": "US",
            "telephone_number": "734-282-2500",
            "fax_number": "734-282-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOND",
        "first_name": "TAKIRAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Christopher Bohm, M.D.
• Alyssa Bollini
• Oleh Bolukh, M.D.
• Parker James Bomar, DO
• Mark Bomia
• Bonded Hearts LLC
• Ashlee Bonner
• Sharonda Bonner
• Rosemary Spence Bonney
• Richard Booker, LMT

• Physician Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.