Provider Demographics
NPI:1003014234
Name:SHARON B BOND MD PC
Entity Type:Organization
Organization Name:SHARON B BOND MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:B
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-865-2214
Mailing Address - Street 1:1927 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-8222
Mailing Address - Country:US
Mailing Address - Phone:308-865-2214
Mailing Address - Fax:308-865-2974
Practice Address - Street 1:1927 W 39TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-8222
Practice Address - Country:US
Practice Address - Phone:308-865-2214
Practice Address - Fax:308-865-2974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2023-12-12
Deactivation Date:2007-08-23
Deactivation Code:
Reactivation Date:2008-01-02
Provider Licenses
StateLicense IDTaxonomies
NE20297207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty