Individual provider Active NPI

James Ray Bond Jr., M.D.

  • Dermatology Physician
  • Grapevine, TX
National Provider Identifier
1659375616
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H1928 Issued in TX
Practice address
1615 Lancaster Drive
Ste 107
Grapevine, TX 76051-2111
Phone
(817) 488-5555
Fax
(817) 421-0400
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H1928 TX Primary

Addresses

Primary practice location

1615 Lancaster Drive
Ste 107
Grapevine, TX 76051-2111

Mailing address

1615 Lancaster Dr
Ste 107
Grapevine, TX 76051-2111
Phone (817) 488-5555

Other identifiers 1

IdentifierTypeStateIssuer
1153967-0MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000875 TX Practitioner - Dermatology 2961304985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

12469 Timberland Blvd
Suite 501
Fort Worth, TX 76244-5216
Phone (817) 431-6555

210 S Nolen Dr
Suite 140
Southlake, TX 76092-8095
Phone (682) 688-7477

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions173
Removal or shaving of skin growth1-10
Skin biopsy64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H1928TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince May 15, 2024 Accepting new patients
R Todd Plott MD PA Dermatology CurrentSince Oct 30, 2011 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

210 S Nolen Dr
Ste 140
Southlake, TX 76092
Phone (682) 688-7477

Interoperability endpoints

  • Direct secure messaging: james.bond@epiphanyderm.emadirect.md

Organizations & group practices 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1659375616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR",
            "address_2": "STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-488-5555",
            "fax_number": "817-421-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DRIVE",
            "address_2": "STE 107",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-488-5555",
            "fax_number": "817-421-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JAMES",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H1928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1153967-0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.