Individual provider Active NPI

Bin Wang

  • Student in an Organized Health Care Education/Training Program
  • Brockton, MA
National Provider Identifier
1780548420
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
34 N Pearl St # Ma
Brockton, MA 02301-1708
Phone
(508) 408-9200
NPI assigned
Dec 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

34 N Pearl St # Ma
Brockton, MA 02301-1708

Mailing address

161 Washington St Apt 1513
Brighton, MA 02135-3524
Phone (858) 539-5935

Other practice location 1

801 Massachusetts Ave
Boston, MA 02118-2605
Phone (617) 414-4672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1780548420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST APT 1513",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353524",
            "telephone_number": "858-539-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST # MA",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-408-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182605",
            "country_code": "US",
            "telephone_number": "617-414-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "BIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.