DR. BONG JUNG MD NPI 1619953197

NPI Information

NPI: 1619953197
Provider Name: DR. BONG JUNG, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
4705 TOWNE CENTRE RD
SUITE 102
SAGINAW, MI
ZIP 48604
Phone: (989) 791-4718
Get Directions

DR. Bong Jung, MD is a neurology psychiatry neurology in Saginaw, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Bong Jung, MD NPI is 1619953197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4705 TOWNE CENTRE RD
SUITE 102
SAGINAW, MI
ZIP 48604-818
Phone: (989) 791-4718
Fax: (989) 791-4882

The enumeration date for this NPI number is 12/16/2005 and was last updated on 8/6/2013.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	BJ040138	MICHIGAN	Yes

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
1	0730194	OTHER		BLUE CROSS
2	1307309121	OTHER		BLUE CARE NETWORK
3	104020	OTHER		GREAT LAKES HEALTH PLAN
4	0730912	MEDICARE PIN	MICHIGAN
5	130026263	OTHER		TRAVELERS MEDICARE
6	A77284	MEDICARE UPIN
7	1748983	MEDICAID	MICHIGAN
8	1307309121	OTHER	MICHIGAN	HEALTH PLUS

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: 4/28/2024

NPI Synchronization or Removal

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