Active NPI
Brandi Leigh Shafer, DC
- Chiropractor
- Cleburne, TX
National Provider Identifier
1811905037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8380DC
- Practice address
- 1649 W Henderson St Ste a
Cleburne, TX 76033-4108 - Phone
- (817) 641-4042
- Fax
- (817) 645-4357
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8380DC | TX | Primary |
Addresses
Primary practice location
1649 W Henderson St Ste a
Cleburne, TX 76033-4108
Mailing address
1649 W Henderson St Ste a
Cleburne, TX 76033-4108
Phone (817) 641-4042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A7232 | Other | TX | BCBS OF TX PROVIDER ID |
| 5669690 | Other | TX | FIRST HEALTH PROV. ID |
| 7287563 | Other | TX | AETNA PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8380DC | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic & Sports Clinic | Chiropractor | Past | Accepting new patients |
| Cleburne Integrated Wellness PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Cleburne, TX
- NPI 1528268695
-
- Family Medicine Physician
- Cleburne, TX
- NPI 1366886939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1811905037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 W HENDERSON ST STE A",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334108",
"telephone_number": "817-641-4042",
"fax_number": "817-645-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 W HENDERSON ST STE A",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334108",
"telephone_number": "817-641-4042",
"fax_number": "817-645-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "BRANDI",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8380DC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX PROVIDER ID",
"identifier": "8A7232",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROV. ID",
"identifier": "5669690",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "7287563",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.