Organization Active NPI

Bronislava Shafran, M.D., PC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1508854373
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19000 Issued in AZ
Legal business name
BRONISLAVA SHAFRAN, M.D., PC
Practice address
926 E McDowell Rd Ste 128
Phoenix, AZ 85006-2500
Phone
(602) 254-9255
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Bronislava Shafran, M.D.
Title
Physician, Owner
Phone
(602) 254-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 19000 AZ Primary

Addresses

Primary practice location

926 E McDowell Rd Ste 128
Phoenix, AZ 85006-2500

Mailing address

926 E McDowell Rd Ste 128
Phoenix, AZ 85006-2500
Phone (602) 254-9255

Other practice location 1

333 E Virginia Ave
Ste 107
Phoenix, AZ 85004-1206
Phone (602) 254-9255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508854373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD STE 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062500",
            "telephone_number": "602-254-9255",
            "fax_number": "602-254-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E MCDOWELL RD STE 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062500",
            "telephone_number": "602-254-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Virginia Ave",
            "address_2": "STE 107",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041206",
            "country_code": "US",
            "telephone_number": "602-254-9255",
            "fax_number": "602-254-9257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRONISLAVA SHAFRAN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAFRAN",
        "authorized_official_first_name": "BRONISLAVA",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "602-254-9255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "19000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.