Organization Active NPI

Bond Shoe & Foot LLC

  • Durable Medical Equipment & Medical Supplies
  • Stoneham, MA
National Provider Identifier
1508994120
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BOND SHOE & FOOT LLC
Practice address
92 Montvale Ave Ste 2600
Stoneham, MA 02180-3636
Phone
(781) 933-0602
Fax
(781) 497-2926
NPI assigned
Mar 2, 2007
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Mr. Peter P. Bozovic, PEDORTHIST
Title
General Manager
Phone
(781) 933-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

92 Montvale Ave Ste 2600
Stoneham, MA 02180-3636

Mailing address

92 Montvale Ave Ste 2600
Stoneham, MA 02180-3636
Phone (781) 933-0602

Other identifiers 3

IdentifierTypeStateIssuer
453054OtherMABCBS
AA105197OtherMAHPHC
831762OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930087280 MA DME Supplier - Orthotic Personnel 9133323009 Practice locations: Stoneham, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bond Shoe & Foot LLC92 Montvale Ave, Stoneham, MA 02180-3636(781) 933-0602 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Apr 17, 2007

National Provider Directory

National Provider Directory

Locations

100 Maple St
Stoneham, MA 02180
Phone (781) 933-0602

92 Montvale Ave
Ste 2600
Stoneham, MA 02180
Phone (781) 933-0602

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1508994120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 2600",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803636",
            "telephone_number": "781-933-0602",
            "fax_number": "781-497-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 2600",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803636",
            "telephone_number": "781-933-0602",
            "fax_number": "781-497-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND SHOE & FOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BOZOVIC",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "781-933-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "453054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA105197",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "831762",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.