Individual provider Active NPI

Brian S Wong Won, M.D.

  • Plastic Surgery Physician
  • Farmington, CT
National Provider Identifier
1780038612
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
81425 Issued in CT
Practice address
399 Farmington Ave Ste 210
Farmington, CT 06032-1944
Phone
(860) 548-7338
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X V0227 TX
Plastic Surgery Physician 208200000X 81425 CT Primary

Addresses

Primary practice location

399 Farmington Ave Ste 210
Farmington, CT 06032-1944

Mailing address

263 Farmington Ave
Farmington, CT 06030-3955
Phone (860) 679-3467

Other practice location 1

12727 Kimberley Ln Ste 300
Houston, TX 77024-4050
Phone (713) 538-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250627002760 CT Practitioner - Plastic and Reconstructive Surgery 9638463672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079

435 Lewis Ave
Meriden, CT 06451-2101

765 W Johnson Ave
Cheshire, CT 06410-1134
Phone (860) 378-8228

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81425CTMDPlastic Surgery Physician
V0227TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 15, 2025 Accepting new patients

Locations

399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

85 Seymour St
Ste 425
Hartford, CT 06106
Phone (860) 548-7336

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: brians.wongwon@xdr.hhchealthdirect.org

Organizations & group practices 2

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 2

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1780038612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060303955",
            "telephone_number": "860-679-3467",
            "fax_number": "860-679-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE STE 210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321944",
            "telephone_number": "860-548-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12727 Kimberley Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770244050",
            "country_code": "US",
            "telephone_number": "713-538-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG WON",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "V0227",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "81425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.