NPI Details
DR. Jeffrey Soon Bong, D.O. is a diagnostic neuroimaging radiology in Port St Lucie, FL with 22 years of experience. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. DR. Jeffrey Soon Bong, D.O. NPI is 1881800621. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2004
The provider's business location address is:
451 SW BETHANY DR
SUITE 102
PORT ST LUCIE, FL
ZIP 34986-964
Phone: (630) 430-5085
The NPI 1881800621 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Complete ultrasound of within the brain blood flow (HCPCS:93886)
- Ultrasound of within the brain blood flow following medication (HCPCS:93890)
- Ultrasound of within the brain blood flow for blood clots (HCPCS:93892)
The enumeration date for this NPI number is 5/16/2007 and was last updated on 1/22/2013.
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 | 2085D0003X | Radiology | Diagnostic Neuroimaging | 5101016635 | 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 | 5101016635 | OTHER | MICHIGAN | MICHIGAN LICENSE NUMBER |
