Active NPI
Brea Ann Bond, MD
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1497940506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2016-0484
- Practice address
- 5550 Wyoming Blvd NE
Albuquerque, NM 87109-3167 - Phone
- (505) 462-6600
- Fax
- (505) 462-6669
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 97675 | CA | |
| Family Medicine Physician | 207Q00000X | MD2016-0484 | NM | Primary |
Addresses
Primary practice location
5550 Wyoming Blvd NE
Albuquerque, NM 87109-3167
Mailing address
PHS Provider Enrollment
PO Box 26666
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84508019 | Medicaid | CO |
Other names 1
- Karen Ann Bond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97675 | CA | MD | Family Medicine Physician |
| MD2016-0484 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients |
Locations
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 462-6600
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- brea.bond@20337662754820.direct.elationemr.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1497940506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PHS PROVIDER ENROLLMENT",
"address_2": "PO BOX 26666",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093167",
"telephone_number": "505-462-6600",
"fax_number": "505-462-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "BREA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "97675",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2016-0484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84508019",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "BOND",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.