Individual provider Active NPI

Shannon Brayer

  • Chiropractor
  • Broadview HTS, OH
National Provider Identifier
1811993975
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3152 Issued in OH
Practice address
203 E Royalton Rd
Ste 108
Broadview HTS, OH 44147-4038
Phone
(440) 526-4940
Fax
(440) 526-4885
NPI assigned
Jun 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3152 OH Primary

Addresses

Primary practice location

203 E Royalton Rd
Ste 108
Broadview HTS, OH 44147-4038

Mailing address

203 E Royalton Rd
Ste 108
Broadview HTS, OH 44147-4038
Phone (440) 526-4940

Other identifiers 6

IdentifierTypeStateIssuer
2248857MedicaidOH
9119098823A11OtherANTHEM BC/BS
7629359OtherAETNA
2802952OtherAETNA SELECT
2054628OtherUNITED HEALTHCARE
7241987OtherCIGNA 3

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
3152OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Chiropractic and Acupuncture Clinic LLC Chiropractor PastSince Aug 11, 2024 Accepting new patients
Brayer Chiropractic PS PastSince May 23, 2005 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811993975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E ROYALTON RD",
            "address_2": "STE 108",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474038",
            "telephone_number": "440-526-4940",
            "fax_number": "440-526-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E ROYALTON RD",
            "address_2": "STE 108",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474038",
            "telephone_number": "440-526-4940",
            "fax_number": "440-526-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYER",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2248857",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "9119098823A11",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7629359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SELECT",
            "identifier": "2802952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2054628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 3",
            "identifier": "7241987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.