Active NPI
William W Bondurant III, M.D., P.a.
- Specialist
- Texas City, TX
National Provider Identifier
1659792091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WILLIAM W BONDURANT III, M.D., P.A.
- Practice address
- 6801 Emmett F Lowry Expy
Texas City, TX 77591-2500 - Phone
- (409) 739-3238
- NPI assigned
- Jan 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William W Bondurant III, M.D.
- Title
- President
- Phone
- (409) 739-3238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Mailing address
7 Colony Park Cir
Galveston, TX 77551-1737
Phone (409) 739-3238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134185424 | Other | TX | PERSONAL NPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1659792091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 COLONY PARK CIR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511737",
"telephone_number": "409-739-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 EMMETT F LOWRY EXPY",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912500",
"telephone_number": "409-739-3238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM W BONDURANT III, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "BONDURANT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-739-3238",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1134185424",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.