Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. BRYAN CHRISTOPHER FAGAN
Active
Individual
DR. BRYAN CHRISTOPHER FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20606
MS
207X00000X
Orthopaedic Surgery Physician
AU5009697-756
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20606
MS
207XX0801X
Orthopaedic Trauma Physician
20606
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359815
—
MS
05
—
02629297
—
MS
01
—
302I205607
MEDICARE ID
MS
Enumeration date
05/24/2007
Last updated
01/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up