Brian James Shamberger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6260 Issued in MA

Practice address

100 Sylvan Rd Ste 750
Woburn, MA 01801-1852

Phone

(781) 937-3001

Fax

(781) 937-3070

NPI assigned

Oct 17, 2017

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bshamberger124483@direct.challiance.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD
• Massachusetts ENT Consultants LLC

  • Otolaryngology Physician
  • Woburn, MA
  • NPI 1184118564
  NPD (past)
• Pratt Urology Associates, Inc

  dba Pratt Associates

  • Urology Physician
  • Boston, MA
  • NPI 1497795025
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1497266407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SYLVAN RD STE 750",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011852",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SYLVAN RD STE 750",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011852",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "MA",
            "postal_code": "018901971",
            "country_code": "US",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMBERGER",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Marcia Setzen
• Michael Severo, PT
• Heather Neal Sexton
• Lindsay Sgambellone, NCC, LMHC, LPC
• Humera Hanif Shaikh, PHARMD, RPH
• Malini Sharma, M.D.
• Barbara Louise Shea, PT
• Caroline Gavin Shea, M.S., CCC-SLP
• Elizabeth K. Shea
• Monica Sheridan, PT

• Physician Assistant in Woburn, MA
• Providers in Woburn, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.