DR. KIM M BONDURANT (NPI# 1548251549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548251549 |
| Entity Type | Individual |
| Full Name | DR. KIM M BONDURANT |
| Credential | M.D. |
| Practice Address |
15459 Annapolis Rd Bowie MD 20715-1847 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 2405440676 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0068296 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
15459 ANNAPOLIS RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144748401 | Melissa Brooke Newport | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2017-09-06 |
| 1043682750 | Lioudmila Hill | Nurse Practitioner | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2015-10-21 |
| 1366837031 | Tanya Qin Tan | Internal Medicine | 15459 Annapolis Rd, Bowie, MD 20715 | 2015-03-31 |
| 1881096345 | Thirza M. Day | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2014-09-16 |
| 1760767735 | Wehti Blackledge | Nurse Practitioner | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2011-10-20 |
| 1316253594 | Lori A. Rodey | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2010-08-25 |
| 1730490186 | Tramaine Angela Davis | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2010-06-30 |
| 1164524922 | Sonia Marie Rhoden-salmon | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-09-02 |
| 1497766133 | Rachel N Gaines-mbachu | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-08-10 |
| 1497788210 | Konrad Wayne Jarrett | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1275083511 | Silver Spring Medical Group LLC | Internal Medicine | 6915 Laurel Bowie Rd Ste 101, Bowie, MD 20715-1715 | 2016-10-11 |
| 1952689838 | Nisha Nasir Qureshi | Internal Medicine | 13200 Anthem Greenfields Dr, Bowie, MD 20720-6330 | 2011-07-27 |
| 1649594623 | Rachna Arora | Internal Medicine | 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 | 2010-03-20 |
| 1205011640 | Bowie Primary Care, Inc | Internal Medicine | 4379 Northview Drive, Bowie, MD 20716 | 2008-01-03 |
| 1124213459 | Edwin Shadzeka | Internal Medicine | 4314 Rustling Leaves Ter, Bowie, MD 20716-3608 | 2007-09-10 |
| 1164546321 | Howard Cook | Internal Medicine | 15107 Roving Wood Dr, Bowie, MD 20715-3373 | 2007-03-16 |
| 1558423822 | Lakeside Medical Group-dr. Raj Chawla P.C. | Internal Medicine | 14300 Gallant Fox Ln Ste 210, Bowie, MD 20715-4033 | 2006-12-14 |
| 1003912742 | Mariam Mcconnell Bahrami | Internal Medicine | 4379 Northview Dr, Bowie, MD 20716-2603 | 2006-09-16 |
| 1659488617 | Dpinder Singh | Internal Medicine | 14300 Gallant Fox Ln Ste 124, Bowie, MD 20715-4031 | 2006-08-24 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.