Eric Rodrigue Bongni

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

1020905 Issued in MD

Practice address

8001 Mandan Rd Apt 102
Greenbelt, MD 20770-2849

Phone

(240) 595-5407

NPI assigned

Jun 12, 2013

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)

Enrolled

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.

• Portable X-Ray on Demand LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Greenbelt, MD
  • NPI 1427737063
  NPD
• Rapid Mobile X-Ray LLC

  • Mobile Radiology Clinic/Center
  • Greenbelt, MD
  • NPI 1134078843
  NPD

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1487092482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 MANDAN RD APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702849",
            "telephone_number": "240-595-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MANDAN RD APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702849",
            "telephone_number": "240-595-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGNI",
        "first_name": "ERIC",
        "middle_name": "RODRIGUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0120011311",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": "1020905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Therapeutics, LLC
• Andrea Boehm, LCSW-C
• Melissa Bojic, CRNP, FNP-C
• Sidney Boma, HHA
• Quiera Bonds
• Bonview Medical Services
• Kamal Singh Bora
• Michael Boston, THERAPIST
• Katrina M Boverman, MSW LCSWC
• Sarah Michelle Bowers, OTR/L

• Body Imaging Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Body Imaging Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; 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.