Brian J Shiple, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS17841 Issued in FL

Practice address

9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801

Phone

(239) 687-3199

Fax

(855) 398-9437

NPI assigned

May 2, 2006

Last updated

Dec 4, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19930/brand/1/csg/1/fhir/r4
• Direct secure messaging: integrativerehabmedicine.brianshiple@144956.advancedmd-direct.com

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.

• The Center for Sports Medicine

  • Medical Specialty Clinic/Center
  • Springfield, PA
  • NPI 1346646601
  NPD (past) Authorized official
• Integrative Rehab Medicine, Inc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Estero, FL
  • NPI 1821658428
  NPD
• Morgan Kalman Clinic PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wilmington, DE
  • NPI 1548329790
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1639137326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 COUNTRY CLUB DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032430",
            "telephone_number": "302-354-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 CORKSCREW RD STE 103",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286801",
            "telephone_number": "239-687-3199",
            "fax_number": "855-398-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 Wilmington Pike",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "19342",
            "country_code": "US",
            "telephone_number": "610-459-4200",
            "fax_number": "610-459-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPLE",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS17841",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS077302-E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahsan Ullah Shah, M.D.
• Shahzaib Mirza MD Medical Partners PA (Starz Pediatrics)
• Ola Sheik Roberts, DPM
• Kathleen A Shelton, APRN
• Jennifer Sherwin, MD
• Iva Shkurti, MD
• Sara Maria Sidaoui, RPH
• Kaylie Lynne Siedow
• Sievers and Company, LLC (Teresa A. Siever, MD)
• Michael Aaron Sills, D.C.

• Sports Medicine (Family Medicine) Physician in Estero, FL
• Providers in Estero, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.