Individual provider Active NPI

Brandon James Shortnacy, RADT1

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1326911876
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RT1453290826 Issued in CA
Practice address
4576 E Shields Ave
Fresno, CA 93726-7220
Phone
(559) 371-2546
Fax
(559) 258-0249
NPI assigned
Sep 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RT1453290826 CA Primary

Addresses

Primary practice location

4576 E Shields Ave
Fresno, CA 93726-7220

Mailing address

4576 E Shields Ave
Fresno, CA 93726-7220
Phone (559) 371-2546

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

State licenses

LicenseStateTypeSpecialty
R1620040725CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1326911876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "559-371-2546",
            "fax_number": "559-258-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "559-371-2546",
            "fax_number": "559-258-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTNACY",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "RADT1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RT1453290826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.