Individual provider Active NPI

Brian Lan Wong, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1457856056
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A198261 Issued in CA
Practice address
5323 Harry Hines Blvd
Dallas, TX 75284-0001
Phone
(214) 648-3916
NPI assigned
Mar 26, 2018
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T0389 TX
Emergency Medicine Physician 207P00000X A198261 CA Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75284-0001

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75284-5347
Phone (214) 648-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210526001624 TX Practitioner - Emergency Medicine 7416205588 Reassigns benefits to 1 organization
I20221008000449 MD Practitioner - Emergency Medicine 7416205588 Reassigns benefits to 2 organizations
I20250303002948 CA Practitioner - Emergency Medicine 7416205588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeline Emergency Physicians Medical Group, Inc.Group PAC ID 0345521613, 39 clinicians
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-5396

9080 Colima Rd
Whittier, CA 90605-1600
Phone (877) 346-2211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2021 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Ridgeline Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Feb 25, 2025 Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-0100

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: brianl.wong@xdr.hhchealthdirect.org
  • Direct secure messaging: bwong72944@direct.phhs.org

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1457856056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-648-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840001",
            "telephone_number": "214-648-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRIAN",
        "middle_name": "LAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T0389",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A198261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.