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

Dr. Bobga S Fomunung, MD

Individual provider Psychiatry Physician · NPI 1700899010

Dr. Bobga S Fomunung, MD is a Psychiatry in Grand Rapids, Michigan. Graduated from Medical College of Wisconsin in 2003, 23 years ago. Practices with Holland Community Hospital, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
23
Trained at
Medical College of Wisconsin
Licensed in
MI
In the registry since
2006
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

1939 Division Ave S
Grand Rapids, MI 49507-2459
Phone: (616) 247-3815
Fax: (616) 245-0450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1281 Innisbrook Ct, Holland, MI 49423-5502 — (616) 834-7279

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5315017245 (MI)

Record details

NPI number1700899010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2006
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2003 (23 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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