Brian Shah, MD, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

BRIAN SHAH, MD, PLLC

Practice address

131 2ND Ave S
Saint Petersburg, FL 33701-4382

Phone

(727) 823-3220

NPI assigned

May 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Brian Shah, MDNPI 1104867431

Title

Owner

Phone

(727) 823-3220

Specialties & licenses 1

Addresses

Other names 1

• The Piper Clinic Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian S Shah, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • St. Petersburg, FL
  • NPI 1104867431
  NPD Authorized official
• Mark Piper, D.M.D., M.D., P.A.

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
  • NPI 1316992852
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1205573144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 2ND AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014382",
            "telephone_number": "727-823-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 2ND AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014382",
            "telephone_number": "727-823-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN SHAH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-823-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@piperclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "131 2nd Ave S",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Piper Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sue A Brewer, LCSW
• Natalia Brewster, MSW
• Daniel Breznau, M.D.
• Brian D Brill DC PLLC
• Brian M Kagan MD PA
• Bridge Speech Therapy LLC
• Carolyn Bridge, M.S., C.C.C.
• Lisa Marie Bridge
• Brien E Pierpont MD PA
• Ashley Gortemoller Briggs, ARNP

• Oral and Maxillofacial Surgery Clinic/Center in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.