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

Dr. Bong-Soo Kim, MD

Individual provider Neurological Surgery Physician · NPI 1053553487

Dr. Bong-Soo Kim, MD is a Neurosurgery in Philadelphia, Pennsylvania. Qualified in 1991, 35 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2009
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

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-7200
Fax: (215) 707-3831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-7200

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD 434999 (PA)

Record details

NPI number1053553487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2009
Last updated in NPPESMay 1, 2018

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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