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

Brysson Phan, DO

Individual provider Family Medicine Physician · NPI 1538899521

Brysson Phan, DO is a Family Practice in Port Orange, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2022, 4 years ago. Licensed in Florida.

Years since qualifying
4
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
FL
In the registry since
2022
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.

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Practice location Address checks out

740 Dunlawton Ave
Port Orange, FL 32127-4239
Phone: (386) 763-1000
Fax: (386) 763-0507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS22453 (FL)

Record details

NPI number1538899521
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address10149 Malpas Pt, Orlando, FL 32832-6158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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