Provider Demographics
NPI:1730124041
Name:BOND, WILLIAM RHODEN JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RHODEN
Last Name:BOND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13228 MOONLIGHT TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-6712
Mailing Address - Country:US
Mailing Address - Phone:301-871-8245
Mailing Address - Fax:301-871-1246
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 312
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-726-7770
Practice Address - Fax:301-871-1246
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2018-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0025211207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7808216 04Medicaid
DC011409900Medicaid
1902901069OtherCORPORATE NPI#
DC5309OtherBLUECROSS BLUESHIELD
MD0K4HWROtherBLUECROSS BLUESHIELD
1730124041OtherINDIVIDUAL NPI #
MDC 87951Medicare UPIN
DC011400900Medicaid