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

Dr. David Fan, DO

Individual provider Surgery Physician · NPI 1467832113

Dr. David Fan, DO is a General Surgery in Bronx, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2015, 11 years ago. Practices with Bronxcare Health System, a 333-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2015
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

1650 Grand Concourse
Bronx, NY 10457-7679
Phone: (718) 992-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 307971 (NY)

Record details

NPI number1467832113
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2015
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address1276 Fulton Ave, Bronx, NY 10456-3402

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2015 (11 years in practice)
Group practice Bronxcare Health System — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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