DR. ZACHARY COLE BONDRANKO D.O.
NPI 1023695624
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Q: What is Zachary Bondranko's NPI number?

The NPI number for Zachary Bondranko is 1023695624. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Zachary Bondranko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Bondranko was last updated on March 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2021PECOS Enrolled

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1118(843) 692-1122 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Zachary Cole Bondranko D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ZACHARY COLE BONDRANKO D.O. (NPI 1023695624) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023695624

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ZACHARY COLE BONDRANKOCredential: D.O.

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-1118 · Fax (843) 692-1122

Phone(843) 692-1118

Fax(843) 692-1122

Sole ProprietorNo

Enumeration DateMarch 28, 2021

NPPES CertifiedMarch 28, 2021

✔ NPI 1023695624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

809 82ND PKWY, Myrtle Beach, SC 29572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zachary Cole Bondranko D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN HOSPITALIST SERVICES PC

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