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NPI Code Detail

MEDICARE: DR. BRANTLEY BOND DO

MEDICARE: DR. BRANTLEY BOND DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianDR.0071750CO

General Provider Information

NPI Number : 1275273096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANTLEY BOND DO
Provider Business Mailing Address
First Line : 2698 PATTERSON RD STE 100
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8211
Country : US
Telephone Number : 702-982-8009
Fax Number :
Provider Business Practice Location Address
First Line : 2698 PATTERSON RD STE 100
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8211
Country : US
Telephone Number : 702-982-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 12/10/2025

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