Active NPI
James Ray Bond Jr., M.D.
- Dermatology Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- H1928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1153967-0 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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 100
- Quality
- 76.91
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 77.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 173 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1928 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
| R Todd Plott MD PA | Dermatology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.