National Provider Identifier Database

JEFFREY J BONGIORNO, DPM – NPI #1770599953
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JEFFREY J BONGIORNO, DPM
1317 W GRAND AVE
PORT WASHINGTON, WI53074-2075
Phone: 262-284-8800
Fax: 262-284-8861
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JEFFREY J BONGIORNO

NPI Number 1770599953
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/31/2006
Last updated 11/19/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 798025
  • WI Medicaid: 41755100
  • WI Medicaid: 43227800
  • Other: 4998210001 DMERC
  • Other: P00085509 RR MCR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JEFFREY J BONGIORNO, DPM

There are currently no reviews for JEFFREY J BONGIORNO, DPM


NPIdb - Home
v2.201