MEDICARE: WILLIAM R BOND JR MD

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
1	207Y00000X	Otolaryngology Physician	D0025211	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1902901069	OTHER	MD	ORGANIZATION NPI
4	1730124041	OTHER		INDIVIDUAL NPI #
5	0K4HWR	OTHER	MD	BLUECROSS BLUESHIELD
6	5309	OTHER	DC	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1902901069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM R BOND JR MD

Provider Business Mailing Address
First Line	:	106 IRVING STREET NW
Second Line	:	SUITE 312 SOUTH
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2993
Country	:	US
Telephone Number	:	202-726-7770
Fax Number	:	202-726-7702

Provider Business Practice Location Address
First Line	:	11120 NEW HAMPSHIRE AVE
Second Line	:	SUITE 504
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-0000
Country	:	US
Telephone Number	:	202-726-7770
Fax Number	:	202-726-7702

Authorized Official
Title or Position	:	CEO/PHYSICIAN
Name	:	DR. WILLIAM RHODEN BOND JR.
Credential	:	M.D. MBA
Telephone Number	:	301-367-4681

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	10/27/2025

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