Bi A. Tadzong-Fomundam, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD36542 Issued in SC

Practice address

4006 Postal Way Unit a
Myrtle Beach, SC 29579-3527

Phone

(843) 796-1769

NPI assigned

Jun 23, 2008

Last updated

Sep 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Bi A. Tadzong Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Merit-based Incentive Payment System (MIPS)

Final score

90.01 of 100Reported as group

Quality

100

Improvement activities

40

Cost

66.69

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bitadzong-fomundam@smf.allscriptsdirect.net

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

• Coastal Med Spa, LLC

  • Public Health & General Preventive Medicine Physician
  • Myrtle Beach, SC
  • NPI 1134090582
  Medicare reassignment NPD
• Mobile Medical PC

  • Clinic/Center
  • Myrtle Beach, SC
  • NPI 1316424393
  NPD
• Careteam Plus, Inc.

  dba Careteam Plus Pharmacy

  • Specialty Pharmacy
  • Conway, SC
  • NPI 1033738133
  NPD (past)
• Coastal House Calls, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Murrells Inlet, SC
  • NPI 1144760927
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1710148648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 POSTAL WAY UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793527",
            "telephone_number": "843-796-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 POSTAL WAY UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793527",
            "telephone_number": "843-796-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADZONG-FOMUNDAM",
        "first_name": "BI",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "MD36542",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "SC",
            "license": "MD36542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BI",
            "last_name": "TADZONG",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sweis Family Wellness LLC (Family Wellness Center)
• Stacey Ann Swinehart, CRNP-FAMILY
• Sarah Switzer, LMT
• Rebecca Margaret Szymanski
• T&D Home Care Service,LLC
• Jenna Rojek Talpas, PA-C
• Tamara Willard
• Linda Tangeman, M.D.
• Nancy Tansey, MS, APRN-GNP
• Tap in Counseling

• Dermatology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.