MILDREDE N. BONGLACK MD – NPI #1134612013
Obstetrics & Gynecology
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
MILDREDE BONGLACK is a physician located in FRESNO, CA. NPPES has assigned the NPI number 1134612013 to MILDREDE BONGLACK on June 14, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery
The NPI profile was last updated on Jan 02, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MILDREDE BONGLACK below.
NPI Profile for
MILDREDE N. BONGLACK
(about 8 years ago)
FRESNO, CA 93701-2184 Phone: (559) 443-2694 Fax: (559) 443-2696
1 Other location(s):
Merced, CA 95341-6805
Phone: (209) 384-6498
Fax: (209) 359-2045
FRESNO, CA 93721-1431 Phone: (559) 453-5200 Fax: (559) 453-5233
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VF0040X - Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary) |
CA | A204492 |
| 207V00000X - Obstetrics & Gynecology |
CA | A204492 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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