BONG SUH NPI 1386244184

NPI Information

  • NPI: 1386244184
  • Provider Name: BONG SUH
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2545 SCHOENERSVILLE RD FL 2
    BETHLEHEM, PA
    ZIP 18017
  • Phone: (484) 884-5666

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NPI Details

Bong Suh is a surgical physician assistant in Bethlehem, PA with 5 years of experience. Bong Suh NPI is 1386244184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2021

The provider's business location address is:

2545 SCHOENERSVILLE RD FL 2
BETHLEHEM, PA
ZIP 18017-300
Phone: (484) 884-5666
Fax: (484) 884-2224

The NPI 1386244184 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AS0400XPhysician AssistantSurgicalMA063456PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA063456OTHERPENNSYLVANIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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