Brent Edward Shelley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9924 Issued in TX

Practice address

1400 Common Dr
El Paso, TX 79936-5922

Phone

(915) 595-4375

Fax

(915) 595-4460

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as group

Quality

80.36

Promoting interoperability

99

Improvement activities

40

Cost

84.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brent.shelley.p26@direct.avp.nextgenshare.com
• Direct secure messaging: brent.shelley.p20@direct.avp.nextgenshare.com

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.

• Marc Ellman, M.D., P.a.

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1053530907

  NM

  Medicare reassignment Care Compare group NPD
• Southwest Eye Institute, Inc.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1275661225
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1538176227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMMON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365922",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMMON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365922",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Resler Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799124302",
            "country_code": "US",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2549",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH INS",
            "identifier": "91360",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "200151153",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "200151153",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM00PB21",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faduma Shegow, PHN
• Cameron Edward Sheid, FNP-C
• Shela M Carter Counseling Services LLC
• Cassandra Sheldon, PHARM.D.
• Shelley Capehart MD PA
• Crystal Shelton
• Michael William Shepherd
• Rebecca Sheppard, LSW
• Sheri Matthews, PLLC
• Faheem Gulamabbas Sheriff, M.D.

• Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.