Active NPI
Brian Allen Shaner, MD
- Family Medicine Physician
- Durham, NC
National Provider Identifier
1376530899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01055766A
- Practice address
- 1901 Hillandale Rd
Suite B
Durham, NC 27705-2664 - Phone
- (919) 383-5437
- Fax
- (919) 383-7694
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01055766A | IN | Primary |
Addresses
Primary practice location
1901 Hillandale Rd
Suite B
Durham, NC 27705-2664
Mailing address
1821 Hillandale Rd
Suite 24B
Durham, NC 27705-2659
Phone (919) 383-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231018000484 | NC | Order and Referring Only - Family Practice | 2264562156 |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Hospital & facility affiliations
- Amedisys Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055766A | IN | MD | Family Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durham, NC
- NPI 1083669873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1376530899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 HILLANDALE RD",
"address_2": "SUITE 24B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052659",
"telephone_number": "919-383-5437",
"fax_number": "919-383-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HILLANDALE RD",
"address_2": "SUITE B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052664",
"telephone_number": "919-383-5437",
"fax_number": "919-383-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANER",
"first_name": "BRIAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055766A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.