Shelby E Brinson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104115 Issued in FL

Practice address

1851 Saint Mary Ave
Pensacola, FL 32501-1053

Phone

(850) 226-6801

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shelby E Brinson Jr. Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelby.brinson@hca5.eclinicaldirectplus.com
• Direct secure messaging: shelby.brinson@2498.securemail.prognocis.com

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.

• Dynamic Pain & Wellness LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1285007989

  FL

  Medicare reassignment Care Compare group NPD
• Dynamic Pain & Wellness LLC

  • Interventional Pain Medicine Physician
  • Panama City, FL
  • NPI 1689184178
  Care Compare group
• Dynamic Pain & Wellness LLC

  • Multi-Specialty Clinic/Center
  • Crestview, FL
  • NPI 1821531013
  Care Compare group
• Dynamic Pain & Wellness PLLC

  • Pain Medicine Physician
  • Pensacola, FL
  • NPI 1871064360
  Care Compare group
• Dynamic Pain & Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dothan, AL
  • NPI 1588288641
  Care Compare group
• Dynamic Pain & Wellness PLLC

  • Pain Clinic/Center
  • Mobile, AL
  • NPI 1871146555
  Care Compare group
• Dynamic Chiro & PT LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1144098724
  NPD (past)
• Pain Consultants of West Florida

  • Pain Clinic/Center
  • Pensacola, FL
  • NPI 1508445966
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1063535151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-226-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SAINT MARY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011053",
            "telephone_number": "850-226-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "SHELBY",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104115",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA9104115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BRINSON",
            "middle_name": "E",
            "suffix": "JR.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brighter Smile Solutions LLC
• Brightstar FL/Al Operations, LLC
• Shelby Elice Brignac
• Nicole Briley, M.D.
• Brilyn Services, Inc
• Brittany Paquette LLC
• Britton Family Farm
• Jasmine Broadnax
• Stephanie Kay Broadnax, RN, MSM, CHC
• E Bruce Brock Jr., PT

• All providers in Pensacola, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.