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Divine Tim Bonghaseh, MD

Family Medicine Physician in Monroe, LA · enumerated 2026.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568386324

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Registry record

Entity type Individual (Type 1)
Name Divine Tim Bonghaseh
Credential MD
Sex Male
Practice address 4864 Jackson St, Monroe, LA, 71202
Phone (318) 330-7650
Enumeration date Aug 5, 2026
Last updated in NPPES Aug 5, 2026

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 353460 (LA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Divine Tim Bonghaseh?
The National Provider Identifier (NPI) for Divine Tim Bonghaseh is 1568386324, a Type 1 (individual) record in the CMS NPPES registry.
Where does Divine Tim Bonghaseh practice?
The practice location on file with NPPES is in Monroe, LA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-05.