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BONNIE WONG DO
NPI 1437404415
Family Medicine in Pueblo, CO

Active since July 17, 2012
902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINE, PUEBLO, CO 81004(719) 557-5872 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bonnie Wong Do NPPES

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

BONNIE WONG DO (NPI 1437404415) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (TL-4526) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1437404415
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBONNIE WONGCredential: DO
Location Address902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINEPueblo, CO 81004-3798
Mailing Address2116 Wyoming AvePueblo, CO 81004-3752 · (206) 999-3950
Phone(719) 557-5872
Sole ProprietorYes
Enumeration DateJuly 17, 2012
✔ NPI 1437404415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · TL-4526
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
902 LAKEVIEW AVE, Pueblo, CO 81004
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Other Identifiers 1

OtherTL-4526CO · Colorado Training License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
DR. LISA HAMILTON MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855

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 Bonnie Wong's NPI number?

The NPI number for Bonnie Wong is 1437404415. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Bonnie Wong located?

Bonnie Wong practices at 902 Lakeview Ave Southern Colorado Family Medicine, Pueblo, CO 81004. The listed phone number is (719) 557-5872.

What is Bonnie Wong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Bonnie Wong accept?

Health plans from Moda Health Plan, Inc. list Bonnie Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonnie Wong was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.