Active NPIIndividual provider

Dr. Benjamin Chan, MD

Emergency Medicine in Brookfield, Connecticut

NPI Number1043574718
Practice location
31 Old Route 7, Brookfield, CT 06804-1711
Fax
203-885-0813
Last updated
October 7, 2019

Benjamin Chan is an Emergency Medicine based in Brookfield, CT. Benjamin Chan practices in Brookfield, CT and has the professional credentials of MD. The NPI Number for Benjamin Chan is 1043574718 and holds a License No. 282522 (NY). The current practice location address for Benjamin Chan is 31 Old Route 7, Brookfield, CT 06804-1711 and can be reached out via phone at 203-885-0808 and via fax at 203-885-0813.

Provider Profile Details

NPI Number
1043574718
Provider Name
Benjamin Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
31 Old Route 7, Brookfield, CT 06804-1711
Phone Number
203-885-0808
Fax Number
203-885-0813
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2012
Last Update Date
October 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Old Route 7
Brookfield, CT 06804-1711
Zip
06804-1711
Phone Number
203-885-0808
Fax Number
203-885-0813
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
400 E Main St
Nwh Ed C/O Carol Forrest
Mount Kisco, NY 10549-3417
City
Mount Kisco
State
NY
Zip
10549-3417
Phone Number
914-666-1254

License Information

License Number (1)
282522
License State (1)
NY
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
62052
License State (2)
CT
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Benjamin Chan, MD?

The NPI number of Dr. Benjamin Chan, MD is 1043574718. It was assigned on June 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin Chan, MD?

Dr. Benjamin Chan, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NY under license number 282522.

Where does Dr. Benjamin Chan, MD practice?

The practice location is 31 Old Route 7, Brookfield, CT 06804-1711. The office can be reached at 203-885-0808 (phone) or 203-885-0813 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043574718 directly on the NPPES registry website.

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