EUGENE A. BONDAREV M.D.
NPI 1447538368
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Eugene Bondarev's NPI number?

The NPI number for Eugene Bondarev is 1447538368. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Q: What is Eugene Bondarev'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 Eugene Bondarev was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2011PECOS Enrolled

1314 PETERS CREEK RD NW, ROANOKE, VA 24017(800) 950-3149(540) 562-4258 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eugene A. Bondarev M.d. NPPES

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

EUGENE A. BONDAREV M.D. (NPI 1447538368) is an individual student in an organized health care education/training program in Roanoke, Virginia, licensed in Virginia (0116023236) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447538368

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEUGENE A. BONDAREVCredential: M.D.

Location Address1314 PETERS CREEK RD NWRoanoke, VA 24017-2500

Mailing Address1314 Peters Creek Rd NwRoanoke, VA 24017-2500 · (800) 950-3149 · Fax (540) 562-4258

Phone(800) 950-3149

Fax(540) 562-4258

Sole ProprietorYes

Enumeration DateJuly 26, 2011

✔ NPI 1447538368 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

License✔ Licensed in VA · 0116023236

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.

1314 PETERS CREEK RD NW, Roanoke, VA 24017

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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)

Eugene A. Bondarev M.d. 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.

LINDSAY R WILSON DO

Family Medicine