Active NPI
William Brett Bond, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Carencro, LA
National Provider Identifier
1326458100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 955
- Practice address
- 113 E Saint Peter St
Carencro, LA 70520-4008 - Phone
- (225) 239-2301
- Fax
- (225) 341-8526
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 955 | FL | Primary |
Addresses
Primary practice location
113 E Saint Peter St
Carencro, LA 70520-4008
Mailing address
PO Box 187
Carencro, LA 70520-0187
Phone (225) 239-2301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 955 | FL | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longhorn Neurophysiology, P.a. | Electroneurodiagnostic | Past | Accepting new patients |
| Advanced Medical Resources LLC | Electroneurodiagnostic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neurophysiology Physician
- Plano, TX
- NPI 1811263999
Electroneurodiagnostic
-
- Clinical Neurophysiology Physician
- Plano, TX
- NPI 1811256928
Electroneurodiagnostic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1326458100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705200187",
"telephone_number": "225-239-2301",
"fax_number": "225-341-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E SAINT PETER ST",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705204008",
"telephone_number": "225-239-2301",
"fax_number": "225-341-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "WILLIAM",
"middle_name": "BRETT",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "FL",
"license": "955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carencro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.