Ram Mohan Bongu, MD

Individual Active
NPI 1760485080
Geriatric Medicine (Family Medicine) Physician Fayetteville, NC

NPI 1760485080 belongs to Ram Mohan Bongu, MD, a geriatric medicine (family medicine) physician with a practice location in Fayetteville, NC. The NPI was issued on May 31, 2005, and the record was last updated in NPPES on August 6, 2025. The record lists 2 taxonomy codes. 4 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300X 200300007 (NC)
Family Medicine Physician 207Q00000X 200300007 (NC)

Practice locations

101 Robeson St
Ste 202
Fayetteville, NC 28301-5520
Phone: (910) 609-1630
1218 Walter Reed Rd
Fayetteville, NC 28304-4440
Phone: (910) 615-3960
1463 Pamalee Dr
Fayetteville, NC 28303-3974
Phone: (910) 482-3000
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-5680
6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442
Phone: (910) 615-3920

Local context

Active NPPES records list 8 providers with geriatric medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 81 in North Carolina and 2,973 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Ram Mohan R Bongu
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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