Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Wong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124474960

Brian Wong is a Student in an Organized Health Care Education/Training Program in Eagle, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Eagle, ID

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-4174
  • 3653 N Locust Grove Rd, Meridian, ID 83646-5924 — (208) 338-6437

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-14689 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124474960
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

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