Active NPI
William L Bondurant MD PC
- Family Medicine Physician
- Edmond, OK
National Provider Identifier
1235301375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WILLIAM L BONDURANT MD PC
- Practice address
- 1700 Renaissance Blvd
Edmond, OK 73013-3022 - Phone
- (405) 844-4323
- NPI assigned
- Mar 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William L Bondurant, MD
- Title
- Owner
- Phone
- (405) 844-4323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1700 Renaissance Blvd
Edmond, OK 73013-3022
Mailing address
PO Box 5650
Edmond, OK 73083-5650
Phone (405) 844-4323
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1235301375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5650",
"city": "EDMOND",
"state": "OK",
"postal_code": "730835650",
"telephone_number": "405-844-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 RENAISSANCE BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133022",
"telephone_number": "405-844-4323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM L BONDURANT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "BONDURANT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-844-4323",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.