Bryan P McShea, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3569 Issued in MA

Practice address

489 State Road
West Tisbury, MA 02575

Phone

(630) 939-1019

NPI assigned

Feb 28, 2012

Last updated

Mar 29, 2017By 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amid the Waters Chiropractic

  • Chiropractor
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  • NPI 1932684008
  Authorized official Same address or phone
• Naperville Chiropractic and Acupuncture, LLC

  • Preferred Provider Organization
  • Naperville, IL
  • NPI 1548629512
  Authorized official Same address or phone

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1760756456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 STATE ROAD",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "630-939-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ROAD",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "630-939-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHEA",
        "first_name": "BRYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012079",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leia Marie French, CPM
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• Martha's Vineyard Orthopedic Surgery and Sports Medicine (Monto Orthopedics)
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• Karen F Meeks, LICSW
• Helen Neumann, LIC ACC
• Jessica E Oconnor, P.T.
• Basel Otoom
• Rufus W. Peebles, ED. D., J. D.

• Chiropractor in West Tisbury, MA
• Providers in West Tisbury, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.