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DR. JEFFREY SOON BONG D.O. NPI 1881800621


NPI Information

NPI: 1881800621
Provider Name: DR. JEFFREY SOON BONG, D.O.
Classification: Radiology - 2085D0003X
Entity Type: Individual

Specialization: Diagnostic Neuroimaging

Organization: INSIGHT RADIOLOGY PLLC

PECOS Registration: Yes

Address:
451 SW BETHANY DR
SUITE 102
PORT ST LUCIE, FL
ZIP 34986
Phone: (630) 430-5085
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DR. Jeffrey Soon Bong, D.O. is a diagnostic neuroimaging radiology in Port St Lucie, FL with 20 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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085D0003XRadiologyDiagnostic Neuroimaging5101016635MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15101016635OTHERMICHIGANMICHIGAN LICENSE NUMBER

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: 11/14/2023

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