EDWARD J BONGIORNO DO
NPI 1992789754
Internal Medicine in Green Bay,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 5, 2005

Contact Information

1630 Commanche Ave
Green Bay,
Post Code: 54313
Phone: (920) 430-4700
Fax: -

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Edward J Bongiorno Do in Green Bay - Internal Medicine

Edward J Bongiorno Do is a Internal Medicine in Green Bay, . Edward J Bongiorno Do practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward J Bongiorno Do is 1992789754. The last update date is 2014-02-27.

Edward J Bongiorno Do's current location address is 1630 Commanche Ave, Green Bay, . You can contact this provider via phone number (920) 430-4700 and fax number -. The mailing address for Edward J Bongiorno Do is 1630 Commanche Ave, Green Bay, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992789754
Provider Name
EDWARD J BONGIORNO DO
Gender
Male
Entity Type
Individual
Location Address
1630 Commanche Ave, Green Bay,
Location Phone
(920) 430-4700
Location Fax
-
Mailing Address
1630 Commanche Ave, Green Bay, Wisconsin(WI)
Mailing Phone
920-430-4700
Mailing Fax
-
Enumeration Date
2005-12-05
Last Update Date
2014-02-27
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
4508
License State
Wisconsin (WI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208000000X Pediatrics Physician

Pediatrics

45808 (Wisconsin)
2 207Q00000X Family Medicine Physician

Family Medicine

45808 (Wisconsin)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
43507600 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992789754
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918214818710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2918214818710
2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 1 + 8 + 7 + 1 + 0 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 4 4

The NPI number 1992789754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992789689 DANIEL G KOSTER
Individual
Family Medicine 704 S WEBSTER AVE STE 1C
GREEN BAY, Wisconsin (WI)
920-433-3486
1992789523 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GOOD SAMARITAN SOCIETY - LODI
Organization
Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies 700 CLARK ST
LODI, Wisconsin (WI)
608-592-3241
1992789390 ROBERT PURTOCK
Individual
Anesthesiology 725 AMERICAN AVE
WAUKESHA, Wisconsin (WI)
262-544-2011
1992788954 SAIED ASSEF
Individual
Anesthesiology 744 S WEBSTER AVE
GREEN BAY, Wisconsin (WI)
920-433-3500
1992788905 FREDERICK W ROCHACEWICZ
Individual
Physician Assistant PO BOX 387
PORTAGE, Wisconsin (WI)
608-745-4598