BONGSUN RICH FNP-C
NPI 1639652621
Nurse Practitioner in San Antonio, TX

Q: What is Bongsun Rich's NPI number?

The NPI number for Bongsun Rich is 1639652621. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Q: What is Bongsun Rich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Bongsun Rich was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 14, 2018

4411 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-5400 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2022, Aug 5, 2019, May 23, 2019 and 1 more (4 updates tracked since 2018).

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About Bongsun Rich Fnp-c NPPES

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

BONGSUN RICH FNP-C (NPI 1639652621) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (AP138817) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1639652621

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBONGSUN RICHCredential: FNP-C

Location Address4411 MEDICAL DRSan Antonio, TX 78229-3822

Mailing Address4411 Medical Dr Ste 300San Antonio, TX 78229-3824 · (210) 614-5400 · Fax (210) 614-4244

Phone(210) 614-5400

Sole ProprietorNo

Enumeration DateSeptember 14, 2018

Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration

✔ NPI 1639652621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP138817

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP138817 (TX)

4411 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 1

Other814744TX · Medicare Ptan

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. ANTONIO SANTILLAN-GOMEZ M.D.

Obstetrics & Gynecology (Gynecologic Oncology)

4411 MEDICAL DR, STE. 100
SAN ANTONIO, TX 78229

Bexar County (210) 595-5300

ANANTH K PRASAD MD

Internal Medicine (Cardiovascular Disease)

4411 MEDICAL DR, STE 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

PAUL V CELIO MD

Internal Medicine (Cardiovascular Disease)

4411 MEDICAL DR, STE 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

HUNTER M ADDIS MD

Internal Medicine (Cardiovascular Disease)

4411 MEDICAL DR, STE 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

CARLOS A ROMAN MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4411 MEDICAL DR, STE 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

DR. NANDISH KUMAR THUKRAL M.D.

Internal Medicine (Interventional Cardiology)

4411 MEDICAL DR, 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

COLLINS O IDIEGBE ACNP

Nurse Practitioner (Acute Care)

4411 MEDICAL DR, 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

DR. SATYA RAO M.D.

Internal Medicine (Cardiovascular Disease)

4411 MEDICAL DR, SUITE 300
SAN ANTONIO, TX 78229

Bexar County (210) 614-5400

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 Bongsun Rich's NPI number?

The NPI number for Bongsun Rich is 1639652621. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Bongsun Rich located?

Bongsun Rich practices at 4411 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 614-5400.

What is Bongsun Rich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Bongsun Rich was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.