DR. CHRISTOPHER BRIAN GONG (MD) – Surgery Physician, NPI 1053497149

DR. CHRISTOPHER BRIAN GONG (MD) is a healthcare provider. based in Bad axe, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036-105202 (IL). The NPI Number for DR. CHRISTOPHER BRIAN GONG (MD) is 1053497149

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER BRIAN GONG (MD)
NPI
1053497149
Phone
(989) 269-6911
Address
1040 S VAN DYKE RD
Enumeration Date
31 October 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
9898722174
Graduation Year
1993 (33 years ago)
PAC ID
7012981087
Group Practice PAC ID
0143737148
Professional Enrollment ID
I20040825000043
Address ID
MI487261049CA4782XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,444 GENERAL SURGERY in MI

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Provider Addresses for DR. CHRISTOPHER BRIAN GONG (MD)

  • South Van Dyke Road, Colfax Township, Huron County, Michigan, 48413, United States

    SUITE 1

    BAD AXE, MI 484139646

    Phone: (989) 269-6911

    Fax: (989) 269-9162

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-25

PECOS data refreshed: 2026-05-27

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
I20040825000043IGeneral SurgeryMITBD

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 48413)

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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: 0143737148View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerOH
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerOH
Nurse PractitionerIN
Internal Medicine, Pediatric MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CHRISTOPHER BRIAN GONG (MD)?
DR. CHRISTOPHER BRIAN GONG (MD) — NPI 1053497149 — is the standard way to identify this listing.
Is DR. CHRISTOPHER BRIAN GONG (MD) listed as active for patients and plans?
The listing shows DR. CHRISTOPHER BRIAN GONG (MD) as active in the NPI system.
What is DR. CHRISTOPHER BRIAN GONG (MD) best known for clinically?
Directory data describes DR. CHRISTOPHER BRIAN GONG (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CHRISTOPHER BRIAN GONG (MD)?
DR. CHRISTOPHER BRIAN GONG (MD)'s geographic hint is Bad Axe, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.