1902901069 NPI number — WILLIAM R BOND JR MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902901069 NPI number — WILLIAM R BOND JR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM R BOND JR MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902901069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 IRVING STREET NW
Provider Second Line Business Mailing Address:
SUITE 312 SOUTH
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20010-2993
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-726-7770
Provider Business Mailing Address Fax Number:
202-726-7702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11120 NEW HAMPSHIRE AVE
Provider Second Line Business Practice Location Address:
SUITE 504
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20904-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-726-7770
Provider Business Practice Location Address Fax Number:
202-726-7702
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BOND
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
RHODEN
Authorized Official Title or Position:
CEO/PHYSICIAN
Authorized Official Telephone Number:
301-367-4681

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  D0025211 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 011409900 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7808216 04 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1902901069 . This is a "ORGANIZATION NPI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1730124041 . This is a "INDIVIDUAL NPI #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0K4HWR . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5309 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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