Individual provider Active NPI

Brandi Leigh Shafer, DC

  • Chiropractor
  • Cleburne, TX
National Provider Identifier
1811905037
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8380DC Issued in TX
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

Updated by the provider on Sep 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8A7232OtherTXBCBS OF TX PROVIDER ID
5669690OtherTXFIRST HEALTH PROV. ID
7287563OtherTXAETNA 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

LicenseStateTypeSpecialty
8380DCTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Sports Clinic Chiropractor Past Accepting new patients
Cleburne Integrated Wellness PA PastSince May 23, 2017 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.

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.

Verify at the official NPI Registry.