Individual provider Active NPI

Bernard Dennis Shaw, MED

  • Speech-Language Pathologist
  • Hermitage, PA
National Provider Identifier
1225148604
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2191 Issued in OH
Practice address
1951 Shenango Valley Freeway
Hermitage, PA 16148-2522
Phone
(724) 347-2005
Fax
(724) 347-4484
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL000187L PA
Speech-Language Pathologist 235Z00000X SP2191 OH Primary
Audiologist-Hearing Aid Fitter 237600000X AT000076L PA
Audiologist-Hearing Aid Fitter 237600000X F02191 PA

Addresses

Primary practice location

1951 Shenango Valley Freeway
Hermitage, PA 16148-2522

Mailing address

1951 Shenango Valley Freeway
Hermitage, PA 16148-2522
Phone (724) 347-2005

Other identifiers 1

IdentifierTypeStateIssuer
000000114987OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SP2191OHMDSpeech-Language Pathologist
SL000187LPAMDSpeech-Language Pathologist
AT000076LPAMDAudiologist-Hearing Aid Fitter
F02191PAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Rairigh,Au.D PLLC Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225148604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SHENANGO VALLEY FREEWAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482522",
            "telephone_number": "724-347-2005",
            "fax_number": "724-347-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SHENANGO VALLEY FREEWAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482522",
            "telephone_number": "724-347-2005",
            "fax_number": "724-347-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BERNARD",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000187L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP2191",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT000076L",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "F02191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000114987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.