Brian William Shinkle, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-013176 Issued in PA

Practice address

501 W 14TH St
Occupational Health Services, Wilmington Hosp. 1St FLR
Wilmington, DE 19801-1013

Phone

(302) 428-4250

Fax

(302) 428-4280

NPI assigned

Oct 30, 2006

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

Doctor of Osteopathy

State licenses

Practice roles

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.

• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424
  NPD (past)

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1679659932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "OCCUPATIONAL HEALTH SERVICES, WILMINGTON HOSP. 1ST FLR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-4250",
            "fax_number": "302-428-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "OCCUPATIONAL HEALTH SERVICES, WILMINGTON HOSP. 1ST FLR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-4250",
            "fax_number": "302-428-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINKLE",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-013176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Shew
• Kristina Shickley
• Eileen Shieh, M.D.
• Amanda J. Shillingford, MD
• Stacy Ellen Shimp, PA-C
• Elizabeth Shinn
• David H. Shinnick, PA-C
• Nabeegha Shinwari
• Dennis Shipman, PHD
• David A Shmukler, DC

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.