MEDICARE: BERNARD C ONG, MD, PC

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	332B00000X	Durable Medical Equipment & Medical Supplies	10098	NV

General Provider Information

NPI Number	:	1639213762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNARD C ONG, MD, PC

Provider Business Mailing Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	#13-141
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-796-7979
Fax Number	:	702-456-7979

Provider Business Practice Location Address
First Line	:	8551 W LAKE MEAD BLVD
Second Line	:	SUITE 251
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7642
Country	:	US
Telephone Number	:	702-796-7979
Fax Number	:	702-456-7979

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BERNARD ONG
Credential	:	MD
Telephone Number	:	702-796-7979

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/07/2013

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