Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDON WAN DO
NPI 1902500739
Family Medicine in Queen Creek, AZ

Q: What is Brandon Wan's NPI number?

The NPI number for Brandon Wan is 1902500739. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Brandon Wan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Wan was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since March 27, 2023PECOS Enrolled

21805 S ELLSWORTH RD STE 111, QUEEN CREEK, AZ 85142(623) 300-9073 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brandon Wan Do NPPES

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

BRANDON WAN DO (NPI 1902500739) is an individual family medicine provider in Queen Creek, Arizona, licensed in Arizona (012271) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902500739

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRANDON WANCredential: DO

Location Address21805 S ELLSWORTH RD STE 111Queen Creek, AZ 85142-9366

Mailing Address21805 S Ellsworth Rd Ste 111Queen Creek, AZ 85142-9366 · (623) 300-9073

Phone(623) 300-9073

Sole ProprietorNo

Enumeration DateMarch 27, 2023

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1902500739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 012271

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.

21805 S ELLSWORTH RD STE 111, Queen Creek, AZ 85142

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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)

Brandon Wan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 3

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

DR. CAMERON DAVID WAGNER DO, MBA

Family Medicine

21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142

Maricopa County (623) 300-9073

PEDIATRIC DEVELOPMENTAL CONNECTIONS

Pediatrics (Neurodevelopmental Disabilities)

21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142

Maricopa County (480) 462-3868

HONORHEALTH MEDICAL GROUP, LLC

Family Medicine

21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142

Maricopa County (623) 580-5800

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 Brandon Wan's NPI number?

The NPI number for Brandon Wan is 1902500739. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Brandon Wan located?

Brandon Wan practices at 21805 S Ellsworth Rd Ste 111, Queen Creek, AZ 85142. The listed phone number is (623) 300-9073.

What is Brandon Wan's specialty?

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

Is Brandon Wan enrolled in Medicare?

Yes. Brandon Wan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Wan was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.