Basic Information
| Provider Information | |||||||||
| NPI: | 1316947286 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOND | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 618 COURT ST | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245041312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4344858862 | ||||||||
| FaxNumber: | 4344858877 | ||||||||
| Practice Location | |||||||||
| Address1: | 2215 LANGHORNE RD | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245011121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349484381 | ||||||||
| FaxNumber: | 4349484855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2005 | ||||||||
| LastUpdateDate: | 08/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 0101232685 | VA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0804X | 0101232685 | VA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 203639329001 | 01 | TRICARE PROVIDER NUMBER | OTHER | 20-3639329 | 01 | PCHP PROVIDER NUMBER | OTHER | 2063221 | 01 | CIGNA BEHAVIOR PROVIDER N | OTHER | 010220416 | 05 | VA | MEDICAID | 463701 | 01 | VALUE OPTIONS PROVIDER NU | OTHER | O89385 | 01 | SENTARA/OPTIMA PROVIDER N | OTHER | 186458 | 01 | ANTHEM PROVIDER NUMBER | OTHER |