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DR. CHRISTINE JANEL HAYWOOD BONG M.D. FAAP M.P.H. NPI 1992827653


NPI Information

NPI: 1992827653
Provider Name: DR. CHRISTINE JANEL HAYWOOD BONG, M.D., FAAP, M.P.H.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1465 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 419-7490
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DR. Christine Janel Haywood Bong, M.D., FAAP, M.P.H. is a pediatrics in Colorado Springs, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Christine Janel Haywood Bong, M.D., FAAP, M.P.H. NPI is 1992827653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1465 KELLY JOHNSON BLVD STE 310
COLORADO SPRINGS, CO
ZIP 80920-947
Phone: (719) 419-7490
Fax: (719) 309-6847

The NPI 1992827653 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 4/4/2007 and was last updated on 12/6/2021.


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
1208000000XPediatricsLL28136SOUTH CAROLINANo
2208000000XPediatrics47375COLORADOYes

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
147375OTHERCOLORADOMEDICAL LICENSE
2LL28136OTHERSOUTH CAROLINALIMITED MEDICAL LICENSE
3BB9436230OTHERSOUTH CAROLINAFEDERAL DEA
437336843MEDICAIDCOLORADO
5FB1340912OTHERCOLORADODEA
6CO306759OTHERCOLORADOMEDICARE PTAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.