Individual provider Active NPI

Brandon W Chan, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1215957485
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD427512 Issued in PA
Practice address
565 Coal Valley Road
Pittsburgh, PA 15236
Phone
(412) 788-4995
Fax
(412) 788-0250
NPI assigned
Jul 20, 2006
Last updated
Oct 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD427512 PA Primary

Addresses

Primary practice location

565 Coal Valley Road
Pittsburgh, PA 15236

Mailing address

126 Marlboro Drive
McMurray, PA 15317
Phone (412) 788-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160330000365 NY Practitioner - Diagnostic Radiology 2163412610 Reassigns benefits to 2 organizations
I20160411000145 ME Practitioner - Diagnostic Radiology 2163412610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427512PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Jan 9, 2016 Accepting new patients
Sunset Radiology Inc CurrentSince Jun 29, 2020 Accepting new patients
Lakes Radiology Inc Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Jan 9, 2016 Accepting new patients
Maritime Radiology Associates PC Diagnostic Radiology CurrentSince Jan 9, 2016 Accepting new patients
Sunset Radiology Inc Past Accepting new patients
JRMC Specialty Group Practice Past Accepting new patients
FRG Virginia PC Diagnostic Radiology PastSince Dec 1, 2008 Accepting new patients
FRG Acmh PC Diagnostic Radiology PastSince Sep 1, 2008 Accepting new patients
Indiana University Health, Inc Surgery Past Accepting new patients
FRG Kentucky PSC Diagnostic Radiology PastSince Feb 1, 2009 Accepting new patients
FRG Central PA PC Diagnostic Radiology PastSince Sep 1, 2008 Accepting new patients
Indiana Radiology Partners, Inc Diagnostic Radiology Past Accepting new patients
FRG New York PC Diagnostic Radiology PastSince Aug 2, 2009 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology PastSince Jan 21, 2022 Accepting new patients
FRG Michigan PC Diagnostic Radiology PastSince Jun 1, 2009 Accepting new patients

Locations

7000 SW 97th Ave
Ste 117
Miami, FL 33173
Phone (305) 273-6602

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

8395 Oswego Rd
Baldwinsville, NY 13027
Phone (315) 450-4898

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHCDA/Endpoint/HFHCDA

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1215957485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MARLBORO DRIVE",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "412-788-4995",
            "fax_number": "412-788-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15236",
            "telephone_number": "412-788-4995",
            "fax_number": "412-788-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BRANDON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD427512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.