Brent L Bondurant (NPI# 1740384452, PAC ID# 4284739467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1740384452 |
| PAC ID by PECOS | 4284739467 |
| Professional Enrollment ID | I20070417000294 |
| Full Name | Brent L Bondurant |
| Address |
212 E Ivinson Ave Laramie WY 82070-3039 |
| Phone Number | 3077424332 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 2005 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 212 E Ivinson Ave, Laramie, WY 82070-3039 | 3077424332 |
| Street Address |
212 E IVINSON AVE |
| City | LARAMIE |
| State | WY |
| Zip | 82070-3039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles M Cupps | Chiropractic | 212 E Ivinson, Laramie, WY 82070-3039 | |
| Denise A Gill | Clinical Social Worker | 107 S 5th St, Laramie, WY 82070-3123 | |
| Shontay M Roe | Clinical Social Worker | 112 S 5th St, Laramie, WY 82070-3124 | |
| Charles W Denison | Psychologist, Clinical | 121 E Grand Ave, Suite 202, Laramie, WY 82070-3600 | |
| Larae Sue Stibitz | Clinical Social Worker | 121 E Grand Ave, Suite 216, Laramie, WY 82070-3600 | |
| Janet L Somlyay | Nurse Practitioner | 311 S 2nd St, Laramie, WY 82070-3611 | |
| Julia A Duncan | Nurse Practitioner | 502 S 4th St, Laramie, WY 82070-3704 | |
| Leah S White | Nurse Practitioner | 504 S 4th St, Laramie, WY 82070-3704 | |
| Teresa Jacobs Castano | Clinical Social Worker | 502 S 4th St, Laramie, WY 82070-3704 | |
| Leslie J Wondra | Clinical Social Worker | 502 S 4th St, Laramie, WY 82070-3704 | |
| Find all physicians in zip 82070 | |||
| City | LARAMIE |
| Zip Code | 82070 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LARAMIE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Brent L Bondurant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.