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OCTAVIUS ATUD FONGANG
NPI 1013722636
Case Manager/Care Coordinator in Bowie, MD

Active since February 11, 2025
12515 SABER LN, BOWIE, MD 20715(240) 825-8245 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Octavius Atud Fongang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIUS ATUD FONGANG (NPI 1013722636) is an individual case manager/care coordinator provider in Bowie, Maryland and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1013722636
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameOCTAVIUS ATUD FONGANG
Location Address12515 SABER LNBowie, MD 20715-2220
Mailing Address12515 Saber LnBowie, MD 20715-2220 · (240) 825-8245
Phone(240) 825-8245
Sole ProprietorYes
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1013722636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
12515 SABER LN, Bowie, MD 20715
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavius Fongang's NPI number?

The NPI number for Octavius Fongang is 1013722636. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Octavius Fongang located?

Octavius Fongang practices at 12515 Saber Ln, Bowie, MD 20715. The listed phone number is (240) 825-8245.

What is Octavius Fongang's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Octavius Fongang was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.