DR. NAVNEETH RAO BONGU (NPI# 1689811325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689811325 |
| Entity Type | Individual |
| Full Name | DR. NAVNEETH RAO BONGU |
| Credential | MD |
| Practice Address |
743 Spring St Ne Gainesville GA 30501-3715 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702199000 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125050652 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
85614 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Stantonsburg Rd, Vidant Medical Center, Greenville, NC 278342818 | 2528475473 |
| Street Address |
743 SPRING ST NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293958 | J. Taylor Henson | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2005-05-23 |
| 1598362303 | Rebecca Neff | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-10-05 |
| 1942817648 | Frank James Vizen | Registered Nurse | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-26 |
| 1285240580 | Jennifer Erin Wood | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-22 |
| 1174139026 | Corey Barron | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-16 |
| 1235743451 | Christy Tepic | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-04 |
| 1073126439 | Ashley Banks | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-08-26 |
| 1144838665 | Albert Duane Hancock | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-07-21 |
| 1255957718 | Krystle Dunn | Pathology | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-21 |
| 1922624428 | Abdullah Asreb | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164485892 | Borna Mehrad | Internal Medicine | 1600 Sw Archer Rd # 100225, Gainesville, FL 32610 | 2006-04-12 |
| 1427024983 | Runi Arepally Foster | Internal Medicine | 4741 N W 8th Ave, Suite C, Gainesville, FL 32605 | 2006-02-24 |
| 1518933076 | Jorge R Camacho | Internal Medicine | 4343 W Newberry Rd Ste 6, Gainesville, FL 32607-2824 | 2006-02-24 |
| 1750355830 | Pulmonary Physicians of Gainesville, Pa | Internal Medicine | 4711 Nw 8th Avenue, Suite C, Gainesville, FL 32605 | 2006-02-15 |
| 1568445997 | Robert Alan Greenberg | Internal Medicine | 6628 Nw 9th Blvd, Ste 4, Gainesville, FL 32605-4282 | 2005-11-21 |
| 1700870888 | David Auerbach | Internal Medicine | 7003 Nw 11th Pl, Suite 1, Gainesville, FL 32605-3176 | 2005-09-06 |
| 1063998235 | Michael Ryan Johnson | Internal Medicine | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2018-07-11 |
| 1770976813 | Robert A Greenberg Md Pa | Internal Medicine | 6628 Nw 9th Blvd, Suite 4, Gainesville, FL 32605-4282 | 2015-03-13 |
| 1831532365 | Julian Kunwoo Chung | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2013-04-15 |
| 1285905653 | Pulmonary Associates of Gainesville, P.C. | Internal Medicine | 675 White Sulphur Rd, Suite 175, Gainesville, GA 30501-8921 | 2012-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.