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IndividualActiveMedicare EnrolledCan Order/Refer

Brian Wong

Pediatrics

NPI: 1124474960Eagle, Idaho, 83616(208) 302-6200Male

About Brian Wong

Brian Wong is a male healthcare professional specializing in Pediatrics, registered under National Provider Identifier (NPI) number 1124474960. Their primary practice is located at 3217 W BAVARIA ST, Eagle, Idaho 83616.

Patients can reach the office at (208) 302-6200. Brian Wong is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Brian Wong has been NPI-registered since 2016.

Doctor Details

Identity & Credentials

NPI Number
1124474960
Entity Type
Individual
First Name
Brian
Last Name
Wong
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
3217 W BAVARIA ST
City
Eagle
State
Idaho
ZIP
83616-5171
Country
United States
Phone
(208) 302-6200
Fax
(208) 302-6245

Specialty & Taxonomy

Primary Specialty
Pediatrics
Classification
Pediatrics
Taxonomy Code
208000000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 190930
City
BOISE
State
ID
ZIP
837190930

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Brian Wong's NPI number?
Brian Wong's National Provider Identifier (NPI) is 1124474960. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Brian Wong specialize in?
Brian Wong specializes in Pediatrics.
Where is Brian Wong located?
Brian Wong practices at 3217 W BAVARIA ST, Eagle, Idaho 83616. You can reach them by phone at (208) 302-6200.
Does Brian Wong accept Medicare?
Yes, Brian Wong is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Brian Wong offer telehealth or virtual visits?
Brian Wong does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Brian Wong is 1124474960.