Active NPI
Bin Wang, D.O.
- Nuclear Radiology Physician
- Jbsa Ft Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 02003450A
- Practice address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504 - Phone
- (210) 916-4062
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02003450A | IN | |
| Nuclear Radiology Physician | 2085N0904X | 02003450A | IN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036177617 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 13244 | WI |
Addresses
Primary practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-4062
Other practice location 1
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 916-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, WI, IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
San Antonio, TX 78258
Phone (404) 662-2438
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
18419 Rogers Pike
San Antonio, TX 78258-4610
Phone (888) 501-6087
2301 Douglas Dr
San Angelo, TX 76904-5410
Phone (718) 223-4685
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
5228 S Sugar Rd
Apt 6208
Edinburg, TX 78539-2017
Phone (866) 722-1655
Hospital & facility affiliations
- Ascension St Vincent Hospital
- Garnet Health Medical Center
- Ascension St Vincent Kokomo
- Good Samaritan Regional HLTH Center
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003450A | IN | MD | Family Medicine Physician |
| 13244 | WI | MD | Orthopaedic Surgery Physician |
| 036177617 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Nuclear Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Diagnostic Radiology | Current | Accepting new patients |
| Good Samaritan Regional Health Center | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Nuclear Radiology | Past | Accepting new patients |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Past | Accepting new patients |
| Adi Radiology PC | Nuclear Radiology | Past | Accepting new patients |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
| Synergy Radiology Associates PLLC | Past | Accepting new patients | |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 30)
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1937 Momentum Pl
Chicago, IL 60689
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800
128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
12554 Riata Vista Cir
Fl 1
Austin, TX 78727
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
Organizations & group practices 27
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.
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
Nuclear Radiology, TX
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
Diagnostic Radiology
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
TX
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
TX
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
TX
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1669625869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4062"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-916-4373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "BIN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02003450A",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IN",
"license": "02003450A",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036177617",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "13244",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.