Individual provider Active NPI

Travis L Bond, DC

  • Chiropractor
  • Geneva, IL
National Provider Identifier
1528501905
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013076 Issued in IL
Practice address
2172 Blackberry Dr
Unit 102
Geneva, IL 60134-1102
Phone
(815) 494-7063
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013076 IL Primary
Chiropractor 111N00000X 4194 SC

Addresses

Primary practice location

2172 Blackberry Dr
Unit 102
Geneva, IL 60134-1102

Mailing address

2846 E Appleridge LN
Byron, IL 61010-9116
Phone (815) 494-7063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419002528 IL Practitioner - Chiropractic 6103102587 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013076ILMDChiropractor
4194SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Rockford PLLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
Evolve Chiropractic Rockford Crossings PLLC Chiropractor CurrentSince Sep 25, 2023 Accepting new patients
Freeport Chiropractic PLLC Chiropractor CurrentSince Oct 13, 2020 Accepting new patients

Locations

1 W Stephenson St
Freeport, IL 61032
Phone (815) 616-8284

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

2606 Broadway
Rockford, IL 61108
Phone (815) 397-3744

2606 Broadway
Ste 1A
Rockford, IL 61108
Phone (815) 397-3744

290 N Mill Rd
#57
Rockford, IL 61107
Phone (847) 802-4824

290 N Mill Rd
#5
Rockford, IL 61107

Interoperability endpoints

  • Direct secure messaging: travis.bond.1@14940.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1528501905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 E APPLERIDGE LN",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109116",
            "telephone_number": "815-494-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "UNIT 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341102",
            "telephone_number": "815-494-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "TRAVIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013076",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.