Trinley Gongya, MD
Family Medicine in Brockton, Massachusetts
1487149530- Practice location
- 110 Liberty St, Brockton, MA 02301-5674
- Phone
- 508-894-0412
- Fax
- —
- Last updated
- October 24, 2024
Trinley Gongya is a Family Medicine based in Brockton, MA. Trinley Gongya practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Trinley Gongya is 1487149530 and holds a License No. 286376 (MA). The current practice location address for Trinley Gongya is 110 Liberty St, Brockton, MA 02301-5674 and can be reached out via phone at 508-894-0412.
Provider Profile Details
- NPI Number
- 1487149530
- Provider Name
- Trinley Gongya
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 Liberty St, Brockton, MA 02301-5674
- Phone Number
- 508-894-0412
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2018
- Last Update Date
- October 24, 2024
- Certification Date
- October 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Liberty St
Brockton, MA 02301-5674 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-5674
- Phone Number
- 508-894-0412
Provider Business Mailing Address Details
- Address
- 110 Liberty St
Brockton, MA 02301-5674 - City
- Brockton
- State
- MA
- Zip
- 02301-5674
- Phone Number
- 508-941-7000
- Fax Number
- 508-941-6000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 286376
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Trinley Gongya, MD?
The NPI number of Trinley Gongya, MD is 1487149530. It was assigned on June 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Trinley Gongya, MD?
Trinley Gongya, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 286376.
Where does Trinley Gongya, MD practice?
The practice location is 110 Liberty St, Brockton, MA 02301-5674. The office can be reached at 508-894-0412 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487149530 directly on the NPPES registry website.