Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonny Su Wong, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1316326366

Bonny Su Wong, MD is a Physical Medicine and Rehabilitation in Boston, Massachusetts. Graduated from University of Texas Medical Branch at Galveston in 2015, 11 years ago. Practices with St David's Ortho Neuro and Rehab PLLC, a 60-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3000 N Ih 35 Ste 660, Austin, TX 78705-1851 — (512) 236-1310
  • 7200 Cambridge St, Houston, TX 77030-4202 — (713) 798-1000

Specialties & licences

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P0301X · Licence S6329 (TX)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence BP20056781 (TX)

Record details

NPI number1316326366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESJanuary 4, 2022
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2015 (11 years in practice)
Group practice St. David'S Ortho Neuro And Rehab Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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