Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TIM BONGARTZ
Active
Individual
TIM BONGARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00000053351
TN
207RR0500X
Rheumatology Physician
103859
MN
207RR0500X
Rheumatology Physician
51059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00665861
RAILROAD MEDICARE
MN
05
—
Q038691
—
TN
Enumeration date
03/29/2007
Last updated
04/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up