Nicholas William Bondio, DO
Individual provider Active NPI Family Medicine Physician · Diamondhead, MS
NPI 1952961500 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1952961500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28637 (MS)
- Practice address
- 45000 E Aloha Drive
Diamondhead, MS 39525 - Phone
- (228) 822-6066
- Fax
- (228) 255-3626
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 66
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
4300 Leisure Time Dr
Diamondhead, MS 39525-3241
Phone (228) 255-4300
Hospital & facility affiliations
- Vitalcaring Group
- Deaconess Homecare- Region I
- Mississippi Homecare of Picayune
- Adoration Home Health
- Enhabit Home Health of the Gulf Coast
- Memorial Hospital at Gulfport
- Ochsner Medical Center-Hancock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831002967 | MS | Practitioner - Family Practice | 0446587158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28637 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current |
Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Family Medicine | Current |
Accepting new patients |
Locations
45000 E Aloha Dr
Diamondhead, MS 39525
Phone (228) 575-2389
4300 Leisure Time Dr
Diamondhead, MS 39525
Phone (228) 255-4300
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
Interoperability endpoints
- nbondio@direct.mhg.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28637 | MS | Yes |
Addresses
Primary practice location
45000 E Aloha Drive
Diamondhead, MS 39525
Mailing address
PO Box 1810
Gulfport, MS 39502
Phone (228) 575-1194
Other providers in Diamondhead, MS
- Kimberly Nell Averett
- Amy Catherine Love Baggett
- Sarah E Barowka
- Maria Casillas Barrett
- Bio-Medical Applications of Mississippi, Inc.
- Virginia G Boyle
- Brianna Rose Burchett
- Alma J Burrell
- Lois Rose Calamusa
- Chamberlain Counseling Services LLC
All providers in Diamondhead, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.