BRIAN CHAN
NPI 1679039697
Physician Assistant - Medical in Brooklyn, NY
About Brian Chan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN CHAN (NPI 1679039697) is an individual medical provider in Brooklyn, New York, licensed in New York (024478-01) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BROOKLYN, NY 11234
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 Brian Chan's NPI number?
The NPI number for Brian Chan is 1679039697. It was assigned to this individual provider in the NPPES registry on February 14, 2019.
Where is Brian Chan located?
Brian Chan practices at 3201 Kings Hwy, Brooklyn, NY 11234. The listed phone number is (718) 951-2955.
What is Brian Chan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Brian Chan enrolled in Medicare?
Yes. Brian Chan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brian Chan was last updated on May 25, 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.
# Brian Chan · NPI 1679039697
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since February 14, 2019.
## Identity
- **NPI:** 1679039697 (Entity type: Individual)
- **Enumerated:** February 14, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 024478-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3201 KINGS HWY, Brooklyn, NY 11234-2625
- **Phone:** (718) 951-2955
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679039697) · Data from the CMS NPPES public registry.