Kevin B Bounds, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101043805 Issued in VA

Practice address

1815 Colonial Medical CT
Virginia Beach, VA 23454-3034

Phone

(757) 496-7373

Fax

(757) 496-7336

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kevin.bounds.1@23598.direct.athenahealth.com

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1881730083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543034",
            "telephone_number": "757-496-7373",
            "fax_number": "757-496-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 COLONIAL MEDICAL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543034",
            "telephone_number": "757-496-7373",
            "fax_number": "757-496-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "KEVIN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101043805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "54-1548377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Sophia Bouanane-Smith, PMHNP-BC
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• Jennifer Boulware, SLPA
• Boundless Inc
• Thomas Michael Bousman, PA
• Jessica Misty Bowab, COTA, CHW, DOULA
• Hunter Ashley Bowen
• Kenneth Terrell Bowen, B.S.
• Lauren Goldberg Bowen

• Plastic Surgery Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.