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

Dr. Jeffrey Soon Bong, DO

Individual provider Diagnostic Neuroimaging (Radiology) Physician · NPI 1881800621

Dr. Jeffrey Soon Bong, DO is a Diagnostic Radiology in Port St Lucie, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2004, 22 years ago. Practices with Radiology Associates of South Carolina LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

451 SW Bethany Dr Ste 102
Port St Lucie, FL 34986-1964
Phone: (630) 430-5085
Show map & directions

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

Specialties & licences

Diagnostic Neuroimaging (Radiology) Physician (primary) Taxonomy 2085D0003X · Licence 5101016635 (MI)

Record details

NPI number1881800621
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJanuary 22, 2013
Mailing address2840 Reynolds Dr, Winston Salem, NC 27104-1904

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2004 (22 years in practice)
Group practice Radiology Associates Of South Carolina Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare