Organization Active NPI

The Center for Sports Medicine, Brian J. Shiple D.O., LLC

  • Sports Medicine (Family Medicine) Physician
  • Springfield, PA
National Provider Identifier
1467608950
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
THE CENTER FOR SPORTS MEDICINE, BRIAN J. SHIPLE D.O., LLC
Practice address
905 W Sproul Rd
Suite 106
Springfield, PA 19064-1254
Phone
(484) 472-8812
Fax
(484) 472-8878
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Brian J. Shiple, D.O.
Title
Owner
Phone
(484) 472-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

905 W Sproul Rd
Suite 106
Springfield, PA 19064-1254

Mailing address

905 W Sproul Rd
Suite 106
Springfield, PA 19064-1254
Phone (484) 472-8812

National Provider Directory

National Provider Directory

Locations

1 Benton Ct
Wilmington, DE 19810
Phone (302) 475-9226

600 Reed Rd
Ste 101
Broomall, PA 19008
Phone (484) 326-0251

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1467608950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD",
            "address_2": "SUITE 106",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "484-472-8812",
            "fax_number": "484-472-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD",
            "address_2": "SUITE 106",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "484-472-8812",
            "fax_number": "484-472-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SPORTS MEDICINE, BRIAN J. SHIPLE D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "SHIPLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-472-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.