Bryan Scott Shaver, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10510 Issued in TX

Practice address

1050 E Loop 304
Suite 200
Crockett, TX 75835-1814

Phone

(936) 544-5132

NPI assigned

Aug 19, 2016

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Home Health Services Home health agency, Athens, TX, CCN 677586
• Angels Care Home Health Home health agency, Palestine, TX, CCN 458433
• Enhabit Home Health Home health agency, Palestine, TX, CCN 678197
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Christus Mother Frances Hospital- Jacksonville Hospital, Jacksonville, TX, CCN 451319

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bshaver146514@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  • Home Health Agency
  • Palestine, TX
  • NPI 1316187586
  Care Compare affiliation
• East Texas Home Health Services LLC

  • Home Health Agency
  • Athens, TX
  • NPI 1760980668
  Care Compare affiliation
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• Personal Home Healthcare Agency LLC

  • Home Health Agency
  • Palestine, TX
  • NPI 1831194018
  Care Compare affiliation

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1659826626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 S STATE HIGHWAY 19",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758392014",
            "telephone_number": "903-724-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E LOOP 304",
            "address_2": "SUITE 200",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351814",
            "telephone_number": "936-544-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Perry Ramsey III, M.D
• Ray L Morrison D.O. PA
• Renal Care Group Texas Inc
• Robert Carlson MD PLLC
• Linnea Robison, LBSW, LNFA
• Mark Ray Sheets, FNP-C
• Frank A Smith, MD
• Southwest LTC Crockett I, LTD.
• Southwest LTC Crockett II, LTD.
• Stanley Roger Speegle, MD

• Physician Assistant in Crockett, TX
• Providers in Crockett, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.