Dr. Robert E Bondurant
Geriatric Medicine
10095 Hillview Dr
Pensacola
, Florida 32514-5428
Dr. Robert E Bondurant
Geriatric Medicine
10095 Hillview Dr
Pensacola
, Florida 32514-5428
(850) 479-4034
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Robert E Bondurant
- 10095 Hillview Dr
- Pensacola, FL
- Zip : 32514-5428
- Fax : (850) 479-4034
- Phone : (850) 479-4000
Second Address
- Dr. Robert E Bondurant
- 10095 Hillview Dr
- Pensacola, FL
- Zip : 32514-5428
- Fax : (850) 479-4034
- Phone : (850) 479-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | ME13174 | FL |
National Provider Identifier
| NPI | 1023046976 |
|---|---|
| Provider Name | Dr. Robert E Bondurant |
| First Address | Pensacola, FL 32514-5428 |
| Second Address | Pensacola, FL 32514-5428 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 29/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 055316600 | (05) | FL |
| 17270 | BLUE CROSS BLUE SHIELD (01) | FL |
| 406291019 | RAILROAD MEDICARE (01) | |
| 590-20207 | BLUE CROSS BLUE SHIELD (01) | AL |
| D53207 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.