Provider Demographics
NPI:1235137704
Name:BOND, ALLEN R (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:R
Last Name:BOND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 EASTPOINT PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4140
Mailing Address - Country:US
Mailing Address - Phone:502-753-4949
Mailing Address - Fax:502-753-4950
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-7498
Practice Address - Country:US
Practice Address - Phone:859-323-2222
Practice Address - Fax:859-323-5090
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2021-12-16
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Provider Licenses
StateLicense IDTaxonomies
KY259262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0165146Medicaid
KY64259260Medicaid
KYP00296753OtherRAILROAD MEDICARE
WV0118679000Medicaid
KY300135825OtherRAILROAD MEDICARE
0730701OtherMEDICARE PTAN
KY000000244297OtherBCBS
KY000000388619OtherBCBS
KY000000244297OtherBCBS
KYP00296753OtherRAILROAD MEDICARE