Bond Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00779600 Issued in MO

Legal business name

BOND MEDICAL SUPPLY, INC.

Practice address

730 New Florissant Road South
Florissant, MO 63031-1204

Phone

(314) 521-2005

Fax

(314) 839-3900

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Ann Bond

Title

Owner

Phone

(314) 521-2005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1811045479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NEW FLORISSANT ROAD SOUTH",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311204",
            "telephone_number": "314-521-2005",
            "fax_number": "314-839-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NEW FLORISSANT ROAD SOUTH",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311204",
            "telephone_number": "314-521-2005",
            "fax_number": "314-839-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-521-2005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "00779600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626319404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Boedeker
• Armene Metrice Bolden
• Bryce Jalen Bolden
• Bond Care Home Health, LLC
• Bond Care Home Health, LLC
• Daniel Timothy Bond, LPC
• Vito S. Bono, MSW, LCSW
• Alana R Borden, MSW, LCSW
• Cevana Borgstedt
• Gwendolyn Michelle Bostic

• Durable Medical Equipment & Medical Supplies in Florissant, MO
• Providers in Florissant, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.