Individual provider Active NPI

Bin Wang, D.O.

  • Nuclear Radiology Physician
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1669625869
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
02003450A Issued in IN
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20250902003043 NY Practitioner - Diagnostic Radiology 5395246144 Reassigns benefits to 1 organization
I20250926002033 TX Practitioner - Diagnostic Radiology 5395246144 Reassigns benefits to 12 organizations
I20260107004204 WI Practitioner - Diagnostic Radiology 5395246144 Reassigns benefits to 1 organization
I20260126001029 IL Practitioner - Diagnostic Radiology 5395246144 Reassigns benefits to 3 organizations
I20260423001854 WA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5395246144 Reassigns benefits to 1 organization

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
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Good Samaritan Regional Health CenterGroup PAC ID 1658272059, 155 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
St Marys Hospital Centralia IllinoisGroup PAC ID 6709788920, 118 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

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 Hospital, Indianapolis, IN, CCN 150084
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003450AINMDFamily Medicine Physician
13244WIMDOrthopaedic Surgery Physician
036177617ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Nuclear Radiology CurrentSince Jan 24, 2026 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Sep 3, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Dec 30, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 19, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Dec 30, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Dec 16, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 19, 2025 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jan 4, 2026 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Dec 16, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Nuclear Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 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.

View all 27

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.