Individual provider Active NPI

Bryan Kun Hong, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Worcester, MA
National Provider Identifier
1306166756
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
266316 Issued in MA
Practice address
67 Belmont St
Suite 302
Worcester, MA 01605-2657
Phone
(508) 752-1155
Fax
(508) 752-4862
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 266316 MA Primary
Ophthalmology Physician 207W00000X 266316 MA

Addresses

Primary practice location

67 Belmont St
Suite 302
Worcester, MA 01605-2657

Mailing address

67 Belmont St
Suite 302
Worcester, MA 01605-2657
Phone (508) 752-1155

Other identifiers 1

IdentifierTypeStateIssuer
110117104AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829000851 MA Practitioner - Ophthalmology 4981825015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians
Vitreo-Retinal Associates PCGroup PAC ID 9234276742, 5 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

67 Belmont St
Suite 302
Worcester, MA 01605-2608
Phone (508) 752-1155

975 Merriam Ave
Suite 117
Leominster, MA 01453-1220
Phone (508) 752-1155

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
266316MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo-Retinal Associates of Worcester PC Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Jul 31, 2016 Accepting new patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Jul 31, 2016 Accepting new patients
Milford-Franklin Eye Center, LLC Ophthalmology CurrentSince Jun 17, 2022 Accepting new patients
Vitreo-Retinal Associates PC Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Jul 31, 2016 Accepting new patients
Emerson Hospital Current Accepting new patients
Milford-Franklin Eye Center, LLC Past Accepting new patients

Locations

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

750 Union St
Franklin, MA 02038
Phone (508) 528-3240

975 Merriam Ave
Ste 117
Leominster, MA 01453
Phone (508) 752-1155

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

160 S Main St
Milford, MA 01757
Phone (508) 473-7939

67 Belmont St
Ste 302
Worcester, MA 01605
Phone (508) 752-1135

Interoperability endpoints

  • Direct secure messaging: hong.bryan.epho@direct.partners.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bryan.hong.p1@direct.vitreo.nextgenshare.com

Organizations & group practices 8

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 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1306166756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1155",
            "fax_number": "508-752-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1155",
            "fax_number": "508-752-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "BRYAN",
        "middle_name": "KUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "266316",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "266316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110117104A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.