Joseph C Bond Jr., D.O.
Individual provider Active NPI Hematology & Oncology Physician · Rolla, MO
NPI 1740296391 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1740296391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- R7812 (MO)
- Practice address
- 600 Blues Lake Pkwy
Rolla, MO 65401-8022 - Phone
- (573) 364-8822
- Fax
- (573) 341-5969
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31589 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | R7812 | MO | Yes |
Addresses
Primary practice location
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Mailing address
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone (573) 364-8822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9096 | Other | MO | BLUE CROSS BLUE SHIELD OF |
| 107974 | Other | MO | HEALTHLINK |
| P00064091 | Other | MO | RAILROAD MEDICARE |
Other providers in Rolla, MO
- Brooke Boente
- Madison Bogart
- Annie Elizabeth Boggs
- Cathy Bond
- Donna K Bond
- Leah Kathleen Bond
- Paula G Bonney
- Charles Boone
- Brittany L Boren
- Aislinn C Bos
All providers in Rolla, MO · Hematology & Oncology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.