Brian Thomas Shea, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

36013 Issued in CO

Practice address

777 29TH St
400
Boulder, CO 80303-2358

Phone

(303) 447-0022

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Brian T. Shea DO LLC

  • Internal Medicine Physician
  • Boulder, CO
  • NPI 1235327198
  Medicare reassignment NPD Authorized official
• WM. Michael Smith, PH.D, LLC

  • Psychologist
  • Longmont, CO
  • NPI 1184860348
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396758835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 29TH ST",
            "address_2": "400",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 29TH ST",
            "address_2": "400",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032358",
            "telephone_number": "303-447-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "36013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92021328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron M Shaver, DPT
• Christine Elizabeth Shaw, DPT
• Cristina Lee Shaw, PHD, MSW
• Samuel Shay, DC
• Shbo LLC (Senior Helpers of Boulder)
• Kat A. Shea, CMT, NMT, CHOM
• Matthew Patrick Shea, P.T.
• Whitney Shea, PTA
• Leslie Sheats, MSOT
• Sheela Mahnke MD LLC (The Pediatric Center)

• Neuromusculoskeletal Medicine & OMM Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.