Provider Demographics
NPI:1588637250
Name:BONDLY, CARA C (MD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:C
Last Name:BONDLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 OFFICE PARK DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2437
Mailing Address - Country:US
Mailing Address - Phone:205-803-4330
Mailing Address - Fax:205-803-4354
Practice Address - Street 1:2728 10TH AVE S STE 200
Practice Address - Street 2:BRUNO CANCER CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1202
Practice Address - Country:US
Practice Address - Phone:205-939-7880
Practice Address - Fax:205-939-2509
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL27228207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051557815Medicaid
AL051557815Medicaid
H27610Medicare UPIN