Prince Bright Mbongho

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4660 Martin Luther King Jr Ave SW
Washington, DC 20032-4933

Phone

(202) 318-0179

NPI assigned

Apr 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1417643727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 ALEXANDRA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197028150",
            "telephone_number": "302-252-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324933",
            "telephone_number": "202-318-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONGHO",
        "first_name": "PRINCE BRIGHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Ngwechi Mbonefor
• Precious Reine Mbonewie
• Edith Ebudetube Mbong Ewane Sr.
• Loveline Tayo Mbongeh
• Paul Eyong Emmanuel Mbongeya
• Cecilia Mbongo
• Eugenie Mbongo
• Louis Mbongo
• Rebecca Mbongo
• Dorothy Mboni

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.