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BRYAN PUI WANG CHAN MD
NPI 1417059957
Family Medicine in Upland, CA

Active since September 04, 2006PECOS Enrolled
980 E FOOTHILL BLVD, STE 104, UPLAND, CA 91786(909) 920-3578(909) 949-1238 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Pui Wang Chan Md NPPES

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

BRYAN PUI WANG CHAN MD (NPI 1417059957) is an individual family medicine provider in Upland, California, licensed in California (A48504) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1417059957
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRYAN PUI WANG CHANCredential: MD
Location Address980 E FOOTHILL BLVD, STE 104Upland, CA 91786
Mailing Address980 E Foothill Blvd, Ste 104Upland, CA 91786 · (909) 920-3578 · Fax (909) 949-1238
Phone(909) 920-3578
Fax(909) 949-1238
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 4, 2006
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1417059957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A48504
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAcupuncturistTaxonomy 171100000X · License AC 7887 (CA)
Also ListedHomeopathTaxonomy 175L00000X · License 9007 (NV)
980 E FOOTHILL BLVD, Upland, CA 91786
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Other Identifiers 1

Medicaid00A485040CA

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 Pui Wang Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799973384
PECOS Enrollment IDI20101227000162
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
208 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims24 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$0.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

RAINBOW PEDIATRICS STEVE RANDAL E. FIRME, M.D., INC.
Pediatrics
980 E FOOTHILL BLVD, SUITE 102
UPLAND, CA 91786
San Bernardino County (909) 981-5738
TIEN-SHENG HSU M.D.
Pediatrics
980 E FOOTHILL BLVD, SUITE 101
UPLAND, CA 91786
San Bernardino County (909) 981-6211

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 Chan's NPI number?

The NPI number for Bryan Chan is 1417059957. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Bryan Chan located?

Bryan Chan practices at 980 E Foothill Blvd Ste 104, Upland, CA 91786. The listed phone number is (909) 920-3578.

What is Bryan Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bryan Chan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bryan Chan was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.