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NPI · 1134612013 · NPPES-sourced

Mildrede Bonglack MD

ActiveUrogynecology & Reconstructive Pelvic Surgery
NPI Number
1134612013
Type 1 · Individual
Contact
(559) 443-2694
License CA · A204492
Last Updated
About 5 months ago (Jan 2026)
Enumerated 2018-06-14
Primary practice addressCA · 93701-2184
2210 E Illinois Ave Ste 408Fresno, CA 93701-2184
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About this NPIWhat this record shows.

NPI 1134612013 is registered to Mildrede Bonglack MD, a Urogynecology & Reconstructive Pelvic Surgery practising at 2210 E Illinois Ave Ste 408 in Fresno, California. Urogynecology & Reconstructive Pelvic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mildrede Bonglack MD has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2018-06-14
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mildrede Bonglack MD accepts. To confirm in-network status with your specific health plan, contact Mildrede Bonglack MD directly at (559) 443-2694.

Frequently asked

Yes. NPI 1134612013 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Urogynecology & Reconstructive Pelvic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (559) 443-2694.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mildrede Bonglack MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207VF0040X
Last updated2026-01
Enumerated2018-06-14
StatusActive
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