Daniel Shane Briley, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA289AR Issued in AR

Practice address

2125 E Main St Ste 10
Siloam Springs, AR 72761-5576

Phone

(479) 524-8552

Fax

(479) 524-8593

NPI assigned

Mar 17, 2009

Last updated

Mar 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1194966374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E MAIN ST STE 10",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727615576",
            "telephone_number": "479-524-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E MAIN ST STE 10",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727615576",
            "telephone_number": "479-524-8552",
            "fax_number": "479-524-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "DANIEL",
        "middle_name": "SHANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA289AR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Boyer
• Haleigh Bradford, MS, CF SLP
• Brandon L Chavez DDS PLLC
• Jacob Braschler
• Bright Beginnings Counseling, PLLC
• David Benjamin Brisben
• Alexa Brooks
• Angela M Brown
• Justin Buccille
• Claire Busler

• Medical Physician Assistant in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.