Active NPI
Elias K Bond, MD
- Psychiatry Physician
- Jackson, TN
National Provider Identifier
1376538413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6307
- Practice address
- 616 W Forest Ave
Jackson, TN 38301-3902 - Phone
- (731) 422-0348
- NPI assigned
- Sep 14, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6307 | TN | Primary |
Addresses
Primary practice location
616 W Forest Ave
Jackson, TN 38301-3902
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3159127 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1376538413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-422-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "ELIAS",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "6307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3159127",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.