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

Dr. Ram Mohan R Bongu, MD

Individual provider Family Medicine Physician · NPI 1760485080

Dr. Ram Mohan R Bongu, MD is a Geriatric Medicine in Fayetteville, North Carolina. Qualified in 1990, 36 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
36
Licensed in
NC
In the registry since
2005
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

101 Robeson St Ste 202
Fayetteville, NC 28301-5520
Phone: (910) 609-1630
Fax: (910) 609-1636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1463 Pamalee Dr, Fayetteville, NC 28303-3974 — (910) 482-3000
  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-5680
  • 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 — (910) 615-3960
  • 6387 Ramsey St Unit 210, Fayetteville, NC 28311-9442 — (910) 615-3920

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 200300007 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200300007 (NC)

Record details

NPI number1760485080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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