NPIMap

Organization Active NPI

Bond Community Health Center

Doing business as Bond Specialty and Wellness Center

  • Adult Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1407109812
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME76689 Issued in FL
Legal business name
BOND COMMUNITY HEALTH CENTER
Doing business as
Bond Specialty and Wellness Center
Practice address
1549 South Monroe Street
Bond Speciality and Wellness
Tallahassee, FL 32301
Phone
(850) 576-4073
Fax
(850) 576-0151
NPI assigned
Oct 23, 2012
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BOND COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
John M Grayson
Title
Cfo
Phone
(850) 576-4073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME76689 FL Primary
Internal Medicine Physician 207R00000X ME80809 FL

Addresses

Primary practice location

1549 South Monroe Street
Bond Speciality and Wellness
Tallahassee, FL 32301

Mailing address

1720 South Gadsden St
Bond Community Health Center
Tallahassee, FL 32301-5506
Phone (850) 576-4073

Other names 1

  • Bond Specialty and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bond Comm Med Assocs5 organizations share this tax ID, including this one
Part of
Bond Comm Med Assocs

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14530/brand/3/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1407109812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SOUTH GADSDEN ST",
            "address_2": "BOND COMMUNITY HEALTH CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-576-4073",
            "fax_number": "850-577-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 SOUTH MONROE STREET",
            "address_2": "BOND SPECIALITY AND WELLNESS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-576-4073",
            "fax_number": "850-576-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND COMMUNITY HEALTH CENTER",
        "enumeration_date": "2012-10-23",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-576-4073"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME76689",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond Specialty and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.