BOND CLINIC – NPI #1811211063
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BOND CLINIC is a provider located in ROLLA, MO. NPPES has assigned the NPI number 1811211063 to BOND CLINIC on March 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOND CLINIC” is a dba name, the actual legal business name for this organization is PCRMC - BOND CLINIC MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Sep 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOND CLINIC below.

NPI Profile for
PCRMC - BOND CLINIC MEDICAL GROUP

NPI Number
1811211063
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PCRMC - BOND CLINIC MEDICAL GROUP
Doing Business As (dba): BOND CLINIC
Primary location
600 BLUES LAKE PKWY
ROLLA, MO 65401-8022
Phone: (573) 364-8822 Fax: (573) 341-5969
Mailing address
Same as primary location
Organization Subpart
Yes - BOND CLINIC is subpart of another organization.
Authorized Official
CATHY BOND
MEDICAL DIRECTOR
Phone: (573) 364-8822
Updated
Certification Date
Sep 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
MO R7D34
363LA2200X
- Nurse Practitioner / Adult Health
MO 2002005692
363L00000X
- Nurse Practitioner
MO 128892
363AS0400X
- Physician Assistant / Surgical
MO 2006001740
363AM0700X
- Physician Assistant / Medical
MO 2006005292
231H00000X
- Audiologist
MO 117468
213E00000X
- Podiatrist
MO 2001015853
208600000X
- Surgery
MO 2006036024
207Y00000X
- Otolaryngology
MO 114610
207RX0202X
- Internal Medicine / Medical Oncology
MO R7812
207Q00000X
- Family Medicine
MO R8583

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.