Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Nan

Individual provider Physical Therapist · NPI 1629390638

Brandon Nan is a Physical Therapist in Private Practice in Modesto, California. Qualified in 2009, 17 years ago. Practices with Golden Bear Physical Therapy Sports Injury Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2010
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Practice location Address checks out

4318 Spyres Way
Modesto, CA 95356-9259
Phone: (209) 576-0710
Fax: (209) 576-7283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36432 (CA)

Record details

NPI number1629390638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2010
Last updated in NPPESFebruary 17, 2010
Mailing address4318 Spyres Way, Modesto, CA 95356-9259

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Golden Bear Physical Therapy Sports Injury Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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