Organization Active NPI

James R Bond, Jr MD PA

  • Dermatology Physician
  • Grapevine, TX
National Provider Identifier
1194931592
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JAMES R BOND, JR MD PA
Practice address
1615 Lancaster Drive
Suite 107
Grapevine, TX 76051-2111
Phone
(817) 488-5555
Fax
(817) 421-0400
NPI assigned
May 15, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. James Ray Bond Jr., M.D.NPI 1659375616
Title
Physician
Phone
(817) 488-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1615 Lancaster Drive
Suite 107
Grapevine, TX 76051-2111

Mailing address

1615 Lancaster Dr
Suite 107
Grapevine, TX 76051-2111
Phone (817) 488-5555

National Provider Directory

National Provider Directory

Locations

1615 Lancaster Dr
Ste 107
Grapevine, TX 76051
Phone (817) 488-5555

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1194931592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR",
            "address_2": "SUITE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-488-5555",
            "fax_number": "817-421-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DRIVE",
            "address_2": "SUITE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-488-5555",
            "fax_number": "817-421-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BOND, JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-488-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.