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BRYAN TAN MD
NPI 1245867480
Anesthesiology - Pain Medicine in Bronx, NY

Active since March 26, 2020PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-6423 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Mar 26, 2020 (2 updates tracked since 2020).

About Bryan Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN TAN MD (NPI 1245867480) is an individual pain medicine provider in Bronx, New York, licensed in New York (338929) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Rutgers New Jersey Medical School (2020).

NPPES Registry Identity

NPI1245867480
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameBRYAN TANCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 East 210 St, Department Of AnesthesiologyBronx, NY 10467 · (631) 235-8123
Phone(718) 920-6423
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1245867480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NY · 338929
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Tan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820409469
PECOS Enrollment IDI20251103002316
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Tan's NPI number?

The NPI number for Bryan Tan is 1245867480. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Bryan Tan located?

Bryan Tan practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-6423.

What is Bryan Tan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Bryan Tan enrolled in Medicare?

Yes. Bryan Tan is registered in the Medicare PECOS enrollment system.

Is Bryan Tan affiliated with any hospitals?

According to CMS data, Bryan Tan is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Bryan Tan was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.