Individual provider Active NPI

Bryan Wai Yong Tang, PA-C

  • Physician Assistant
  • Phoenixville, PA
National Provider Identifier
1043856859
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061242 Issued in PA
Practice address
824 Main St Ste 100
Phoenixville, PA 19460-4478
Phone
(610) 935-7300
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005076 PA
Physician Assistant 363A00000X MA061242 PA Primary

Addresses

Primary practice location

824 Main St Ste 100
Phoenixville, PA 19460-4478

Mailing address

1620 Morton CT
Lansdale, PA 19446-4325
Phone (267) 640-9520

Other practice location 1

1600 E High St
Pottstown, PA 19464-5008
Phone (610) 327-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000829 PA Practitioner - Physician Assistant 3678908563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians

Practice addresses (Care Compare)

1600 E High St
Suite 100
Pottstown, PA 19464-5008
Phone (610) 327-7766

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061242PAMDPhysician Assistant
OA005076PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma CurrentSince Oct 1, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Feb 17, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Feb 17, 2020 Accepting new patients
Penn Medicine-Pma CurrentSince Oct 1, 2023 Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

824 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1043856859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 MORTON CT",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464325",
            "telephone_number": "267-640-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST STE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E High St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645008",
            "country_code": "US",
            "telephone_number": "610-327-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "BRYAN",
        "middle_name": "WAI YONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005076",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.