Bone Marrow Transplant

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

BONE MARROW TRANSPLANT

Practice address

601 S Floyd St
Suite 403
Louisville, KY 40202-1835

Phone

(502) 629-7750

Fax

(502) 629-7784

NPI assigned

Jan 24, 2008

Organization subpart

Yes

Parent organization

BONE MARROW TRANSPLANTAs reported in NPPES

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

Authorized official

Name

Dr. Salvatore J Bertolone Jr., MD

Title

President

Phone

(502) 629-7750

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Bone Marrow Transplant PSC2 organizations share this tax ID, including this one

Part of

Bone Marrow Transplant PSC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bone Marrow Transplant PSC

  • Clinical Child & Adolescent Psychologist
  • Louisville, KY
  • NPI 1134443963
  NPD tax ID

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1710164447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "SUITE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-629-7750",
            "fax_number": "502-629-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "SUITE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-629-7750",
            "fax_number": "502-629-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE MARROW TRANSPLANT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONE MARROW TRANSPLANT",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BERTOLONE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-629-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78905189",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurice Bond
• Priscilla Johns Bond, DMD
• Sheldon J. Bond, M.D.
• Victoria M Bond, PHARM.D
• Kalyan Chakradhar Bonda, MD
• Bone Marrow Transplant PSC
• Bone Marrow Transplant, PSC
• Karen Marie Bonham, RD
• Ashley Bonifield
• Chivvon Bonilla, COTA/L

• All providers in Louisville, KY
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.