Brandon Chad Shelley, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

145 Issued in WY

Practice address

2631 Foothill Blvd
Suite C
Rock Springs, WY 82901-4771

Phone

(307) 362-9545

Fax

(307) 362-9732

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweetwater Foot Care PCGroup PAC ID 5799850111, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cshelley@swfa.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sweetwater Foot Care, PC

  • Primary Podiatric Medicine Podiatrist
  • Rock Springs, WY
  • NPI 1447421904
  Medicare reassignment Care Compare group NPD
• Phillip a Lipira DPM PC

  • Podiatrist
  • Saint Joseph, MO
  • NPI 1588865208
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital of Sweetwater County

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1043411523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD",
            "address_2": "SUITE C",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014771",
            "telephone_number": "307-362-9545",
            "fax_number": "307-362-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD",
            "address_2": "SUITE C",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014771",
            "telephone_number": "307-362-9545",
            "fax_number": "307-362-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "BRANDON",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2007005956",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "218",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "218",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2007005956",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS",
            "identifier": "35666011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORDIAN ADMINISTRATIVE",
            "identifier": "5648250001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Louis Sedey III, PTA
• Seppie Physical Therapy, LLC
• Cole N Seppie, DPT
• Jed Shay, M.D.
• Devan Sheldon, BSN, RN
• Sheridan Vamc
• John A Sherman, MD
• Julie Anna Shockey, PPC
• Todd E Sholey, O.D.
• Koral Jo Shook, MSW

• Foot & Ankle Surgery Podiatrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Foot & Ankle Surgery Podiatrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.