Bong Soo Eun, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810001902 Issued in VA

Practice address

9702 Gayton Rd
#181
Richmond, VA 23238-4907

Phone

(804) 741-7500

Fax

(804) 741-7900

NPI assigned

Aug 27, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.28 of 100Reported as group

Quality

67.11

Improvement activities

40

Cost

74.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deer Oaks Southeast LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1619112612

  VA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1124275664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 GAYTON RD",
            "address_2": "#181",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384907",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 GAYTON RD",
            "address_2": "#181",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384907",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUN",
        "first_name": "BONG SOO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE MEDICAL LICENSE",
            "identifier": "0810001902",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Et Richmond Taxi LLC
• Eternal Energy
• Prakash G Ettigi, MD
• Christine Gilmore Eubanks, PH.D., CCC-A
• Treonna Eubanks, LCSW
• Euphemia Huggins Williams OD PC
• Renuka Evani, M.D.
• Arkemia Nekeitha Evans-Cobbs
• Barbara Evans-Kwamla, LCSW
• Amber J Evans

• Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.