Individual provider Active NPI

Paul S Bongat, D.O.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1245682020
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U5931 Issued in TX
Practice address
613 Elizabeth St Ste 704
Corpus Christi, TX 78404-2231
Phone
(361) 885-0010
Fax
(361) 885-0001
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U5931 TX Primary
Internal Medicine Physician 207R00000X TL.0005950 CO
Internal Medicine Physician 207R00000X OS16150 FL
Rheumatology Physician 207RR0500X PT24758 ND

Addresses

Primary practice location

613 Elizabeth St Ste 704
Corpus Christi, TX 78404-2231

Mailing address

PO Box 3806
Corpus Christi, TX 78463-3806
Phone (361) 885-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824001928 TX Practitioner - Rheumatology 0749527059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shea Physical Therapy Specialists LLC 194 clinicians
Adriana Pop-Moody MD Clinic, PLLC 4 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

613 Elizabeth St
Suite 704
Corpus Christi, TX 78404-2231
Phone (361) 885-0010

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U5931TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adriana Pop-Moody MD Clinic PLLC Rheumatology CurrentSince Aug 7, 2023 Accepting new patients
Adriana Pop-Moody MD Clinic PA PastSince Sep 5, 2023 Accepting new patients

Locations

613 Elizabeth St
Ste 704
Corpus Christi, TX 78404
Phone (361) 882-7300

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1245682020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3806",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784633806",
            "telephone_number": "361-885-0010",
            "fax_number": "361-885-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 704",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042231",
            "telephone_number": "361-885-0010",
            "fax_number": "361-885-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGAT",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U5931",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "TL.0005950",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS16150",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ND",
            "license": "PT24758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.