Active NPI
Brant G Wang, M.D., PH.D.
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- V1644
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (713) 798-1750
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 0101248829 | VA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D0067139 | MD | |
| Cytopathology Physician | 207ZC0500X | V1644 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD037901 | DC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | V1644 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
PO Box 37504
Baltimore, MD 21297-3504
Phone (703) 321-3700
Other practice location 1
110 Irving St NW
Washington Hospital Center
Washington, DC 20010-3017
Phone (202) 877-3627
Other practice location 2
2832 Juniper St
Fairfax, VA 22031-4402
Phone (703) 645-6190
Other names 1
- Dr. Gang Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21214 Northwest Fwy
Cypress, TX 77429-3373
Phone (713) 432-1500
6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 481-3500
Hospital & facility affiliations
- Baylor St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V1644 | TX | MD | Cytopathology Physician |
| 0101248829 | VA | MD | Cytopathology Physician |
| D0067139 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Inova Health Care Services - Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Baylor College of Medicine | Cytopathology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Pathstar, P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383
1504 Taub Loop
#285
Houston, TX 77030
Phone (713) 873-2626
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1 Baylor Plz
#2
Houston, TX 77030
481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
2832 Juniper St
Fairfax, VA 22031
Phone (703) 645-6134
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 10
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Pasadena, TX
- NPI 1316921026
Cytopathology
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
- NPI 1427369578
DC
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1730132721
-
- Anatomic Pathology & Clinical Pathology Physician
- Washington, DC
- NPI 1508838632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1124293873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37504",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973504",
"telephone_number": "703-321-3700",
"fax_number": "703-321-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-798-1750"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_2": "Washington Hospital Center",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-3627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2832 Juniper St",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314402",
"country_code": "US",
"telephone_number": "703-645-6190",
"fax_number": "703-645-6136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "BRANT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "VA",
"license": "0101248829",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D0067139",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "TX",
"license": "V1644",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "DC",
"license": "MD037901",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "V1644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GANG",
"last_name": "WANG",
"prefix": "DR.",
"credential": "M.D., PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.