DR. CHARLES ANTHONY BONGIORNO (MD) – Psychiatry Physician, NPI 1417117714

DR. CHARLES ANTHONY BONGIORNO (MD) is a healthcare provider. based in Panama city, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD441952 (PA). The NPI Number for DR. CHARLES ANTHONY BONGIORNO (MD) is 1417117714

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ANTHONY BONGIORNO (MD)
NPI
1417117714
Phone
(850) 763-0017
Address
1940 HARRISON AVE
Enumeration Date
11 June 2008
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8507630017
Graduation Year
2008 (18 years ago)
PAC ID
1456575182
Group Practice PAC ID
3274687363
Professional Enrollment ID
I20171212000674
Address ID
FL324054542PA1940XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,963 PSYCHIATRY in FL

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Provider Addresses for DR. CHARLES ANTHONY BONGIORNO (MD)

  • Emerald Coast Behavioral Hospital, 1940, Harrison Avenue, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054542

    Phone: (850) 763-0017

    Fax: (850) 692-5862

    Type: Location

  • 1180 College Dr

    Rock Springs, WY 829015863

    Phone: (307) 352-8161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Neuronetics, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Neuronetics, Inc.$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171212000674IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274687363View full group profile
NameSpecialtyState
-FL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YMA
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. CHARLES ANTHONY BONGIORNO (MD) in U.S. healthcare records?
The official identifier for DR. CHARLES ANTHONY BONGIORNO (MD) is NPI 1417117714.
Is DR. CHARLES ANTHONY BONGIORNO (MD) shown as active in public data?
Registry records indicate DR. CHARLES ANTHONY BONGIORNO (MD) maintains an active NPI.
What area of care is associated with DR. CHARLES ANTHONY BONGIORNO (MD)?
DR. CHARLES ANTHONY BONGIORNO (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES ANTHONY BONGIORNO (MD) associated with Panama City?
Public fields place DR. CHARLES ANTHONY BONGIORNO (MD) around Panama City, Florida. Always confirm the exact site before visiting.
Does DR. CHARLES ANTHONY BONGIORNO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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