Bernard Okem Ogon, M.D

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD436175 Issued in PA

Practice address

583 Shoemaker Road
King of Prussia, PA 19406-4201

Phone

(484) 378-2424

Fax

(484) 723-5324

NPI assigned

Feb 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tri-State Clinical Research Trials, LLC

  dba Tri-State Clinical Research Trials

  • Research Clinic/Center
  • Bristol, PA
  • NPI 1447726807
  NPD Authorized official
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  NPD (past)
• Dorfner Family Medicine LLC

  • Internal Medicine Physician
  • Burlington, NJ
  • NPI 1164432407
  NPD (past)

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1255509873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 SHOEMAKER ROAD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064201",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SHOEMAKER ROAD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064201",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Veterans Hwy",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190072514",
            "country_code": "US",
            "telephone_number": "215-458-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGON",
        "first_name": "BERNARD",
        "middle_name": "OKEM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-16",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08756900",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD436175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chikodili Faith Obi, PMHNP
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Chiedozie Kingsley Ochiagha, RN,BSN,DON
• Octave Behavioral, PA
• Kayley Odle, M.S., BCBA, LBS
• Saheed Gbolahan Ojo-Oniyun, M.D
• Oluwabunmi Bosede Oladeji, PHYSICAL THERAPIST
• Wendy Olinick, D.O.
• Megan Eleanor Oliveira
• Erin Olszak

• Geriatric Medicine (Family Medicine) Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.