Provider Demographics
NPI:1982791802
Name:BOND, SHARON B (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:B
Last Name:BOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1927 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-8232
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:68845-8232
Practice Address - Country:US
Practice Address - Phone:308-865-2214
Practice Address - Fax:308-865-2974
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20297207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47083385800Medicaid
NE273148001Medicare PIN
NE47083385800Medicaid