Bert Ys Wong, MD, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25298 Issued in CO

Legal business name

BERT YS WONG, MD, LLC

Practice address

1400 E Boulder St
Suite 700
Colorado Springs, CO 80909-5533

Phone

(719) 635-7172

Fax

(719) 636-9377

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bert Ys Wong, MDNPI 1427057017

Title

President

Phone

(719) 636-9225

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bert Y.S. Wong, M.D.

  • Specialist
  • Colorado Springs, CO
  • NPI 1427057017
  NPD (past) Authorized official
• Deborah Lorraine Griffin, N.P.

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1265430490
  NPD (past)
• Daniel L Ward, DO

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1285632307
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1801070511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BERTHE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063162",
            "telephone_number": "719-636-9225",
            "fax_number": "719-636-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "address_2": "SUITE 700",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-635-7172",
            "fax_number": "719-636-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT YS WONG, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "YS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-636-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "25298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Berscheid, LPC
• Katharine Berscheid, PT, DPT
• Tonia Bershinsky, FNP-C
• Andrew Joseph Berson, MD
• Deane Shore Berson, MD
• Kathryn Elizabeth Berta, PA-C
• Dana A Berthiaume, D.C.
• Dorothy Bertoncin
• William Joseph Bertsch, D.D.S.
• Jennifer Berumen-Hampton

• All providers in Colorado Springs, CO
• Cardiovascular Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.