Bryan Ying Wong, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085002795 Issued in IL

Practice address

3420 S Morgan St Apt 2E
Chicago, IL 60608-6904

Phone

(214) 771-8478

NPI assigned

Sep 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1508470709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MORGAN ST APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086904",
            "telephone_number": "214-771-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MORGAN ST APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086904",
            "telephone_number": "214-771-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRYAN",
        "middle_name": "YING",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lee Wong
• Alton Wong, MD
• Anthony Howah Wong, PHARM D
• Ashleigh Wong, BCBA
• Augustine Chu-Kwan Wong, MD
• Calvin W Wong, MD
• Claire Wong, D.O.
• Clarissa Christabel Wong
• Crystal S. Wong, O.D.
• Daniel Enjay Wong, MD

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.