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

Brandon Wan, DO

Individual provider Family Medicine Physician · NPI 1902500739

Brandon Wan, DO is a Family Practice in Queen Creek, Arizona. Graduated from West Virginia School of Osteopathic Medicine in 2023, 3 years ago. Licensed in Arizona.

Years since qualifying
3
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
AZ
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

21805 S Ellsworth Rd Ste 111
Queen Creek, AZ 85142-9366
Phone: (623) 300-9073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 012271 (AZ)

Record details

NPI number1902500739
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address21805 S Ellsworth Rd Ste 111, Queen Creek, AZ 85142-9366

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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