Bond Community Health Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOND COMMUNITY HEALTH CENTER, INC.

Doing business as

Bond Public Housing Authority

Practice address

1704 Joe Lewis Street
Tallahassee, FL 32304

Phone

(850) 576-4073

Fax

(850) 577-0675

NPI assigned

Aug 17, 2011

Last updated

Dec 16, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

BOND COMMUNITY HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. John M Grayson

Title

Cfo

Phone

(850) 576-4073

Specialties & licenses 4

Addresses

Other names 1

• Bond Public Housing Authority Doing business as

Part of

Bond Comm Med Assocs

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1649550047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SOUTH GADSDEN ST.",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "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": "1704 JOE LEWIS STREET",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32304",
            "telephone_number": "850-576-4073",
            "fax_number": "850-577-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2011-08-17",
        "last_updated": "2016-12-16",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond Public Housing Authority",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

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