Look up the most recent NPI and PECOS records

Zachary Cole Bondranko

Student in an Organized Health Care Education/Training Program

Student, Health Care

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

PECOS Enrollment

This provider is enrolled in PECOS as ZACHARY BONDRANKO.

Based on the most recent information from CMS, provider Zachary Cole Bondranko is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1023695624
Provider Type
Individual
Full Name
Bondranko, Zachary Cole
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2021
Last Updated
3/28/2021

Contact Information

Practice Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

(843) 692-1118

(843) 692-1122

Mailing Location

809 82nd Pkwy, Myrtle Beach, SC 29572-4607

(843) 692-1118

(843) 692-1122

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Zachary Cole Bondranko

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kontos, Teresa Regina

Bowling, Jake

Pandit, Raiva

Jackson, Jared Andrew

Ruggiero, Christopher Michael

Nunez, David Anthony

Cassinat, Joshua J

Barr, James Edward

Juarez, Angel Gabriel

Charles, Karissa Lena Maria