MEDICARE: NGONGMUN FONBISA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1356131114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGONGMUN FONBISA

Provider Business Mailing Address
First Line	:	512 JENNINGS MILL DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-7240
Country	:	US
Telephone Number	:	301-302-1107
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 JENNINGS MILL DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-7240
Country	:	US
Telephone Number	:	301-302-1107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

Similar Medicare Providers

1497602593 — ALIYA BROOKS
Practice Location Address:

12302 PROSPECT LNDG
BOWIE, MD
20721-2533

Practice Phone: 973-617-0259
Practice Fax:

1396426987 — CORNELIA CHIBUZO ONONOBI
Practice Location Address:

2316 TULSON LN
BOWIE, MD
20721-1865

Practice Phone: 240-667-6678
Practice Fax:

1437799582 — NGOZI B AMADI-OBI
Practice Location Address:

2107 BELFRY LN
BOWIE, MD
20721-2253

Practice Phone: 240-643-5638
Practice Fax:

1760338057 — ANDRE BELL
Practice Location Address:

1005 ASHLEIGH STATION CT
BOWIE, MD
20721-6003

Practice Phone: 301-641-5770
Practice Fax:

1447107370 — GRAMPS PLACE COMPANION SERVICES
Practice Location Address:

921 SAINT MICHAELS DR
BOWIE, MD
20721-1977

Practice Phone: 917-444-6210
Practice Fax:

1336096890 — CAREWISE HEALTH LLC
Practice Location Address:

2203 ARCTIC FOX DR
BOWIE, MD
20721-2612

Practice Phone: 202-360-8353
Practice Fax:

Directions to “ NGONGMUN FONBISA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.