Active NPI
Bronze Wound Care LLC
- Wound Care Registered Nurse
- Cheverly, MD
National Provider Identifier
1477104255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- BRONZE WOUND CARE LLC
- Practice address
- 6124 Landover Rd
Cheverly, MD 20785-1016 - Phone
- (240) 828-8200
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- 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
- Sherene J Bond, DPM
- Title
- President
- Phone
- (757) 408-6765
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Wound Care Registered Nurse | 163WW0000X | Primary | ||
| Licensed Practical Nurse | 164W00000X | |||
| Podiatrist | 213E00000X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
6124 Landover Rd
Cheverly, MD 20785-1016
Mailing address
6124 Landover Rd
Cheverly, MD 20785-1016
Phone (240) 828-8200
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Cheverly, MD
- NPI 1396146593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569283200000",
"number": "1477104255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 LANDOVER RD",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851016",
"telephone_number": "240-828-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 LANDOVER RD",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851016",
"telephone_number": "240-828-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONZE WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "SHERENE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-408-6765",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.