Individual provider Active NPI

Bond William Thomas, D.C

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1205888989
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7771 Issued in FL
Practice address
1210 16TH St N
St Petersburg, FL 33705-1033
Phone
(727) 522-1900
Fax
(727) 522-1933
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7771 FL Primary

Addresses

Primary practice location

1210 16TH St N
St Petersburg, FL 33705-1033

Mailing address

1210 16TH St N
St Petersburg, FL 33705-1033
Phone (727) 522-1900

Other identifiers 3

IdentifierTypeStateIssuer
CH7771OtherFLLICENSE NUMBER
381997300MedicaidFL
204319886OtherFLTAX I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060828000357 FL Practitioner - Chiropractic 2466456835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Bond W Thomas DC PAGroup PAC ID 9032113139, 2 clinicians

Practice addresses (Care Compare)

1210 16TH St N
St Petersburg, FL 33705-1033
Phone (727) 522-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bond W Thomas DC PA Chiropractor CurrentSince Jul 15, 2006 Accepting new patients

Locations

1210 16th St N
St Petersburg, FL 33705
Phone (727) 522-1900

3935 16th St N
St Petersburg, FL 33703
Phone (727) 522-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1205888989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051033",
            "telephone_number": "727-522-1900",
            "fax_number": "727-522-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051033",
            "telephone_number": "727-522-1900",
            "fax_number": "727-522-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BOND",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CH7771",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381997300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I",
            "identifier": "204319886",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.