Brandon Shafer

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

3970 E 16TH St
Indianapolis, IN 46201-1538

Phone

(317) 490-1206

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Care Source Group Assisted Living Corp

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1053168534
  NPD Authorized official
• Care Source Personal Care Services LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1508613084
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1942070164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011538",
            "telephone_number": "317-490-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011538",
            "telephone_number": "317-490-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadeland Anesthesia & Pain Associates Inc. (Center for Pain Management)
• Shadeland Chiropractic
• Shadeland Chiropractic & Wellness
• Shadeland ZBR Services Inc
• Luke Shadiow, DO-GRADUATE 05/2019
• Catherine Shafer, DPT
• Meagan Shafer, OT
• Nicole Elizabeth Shafer, RN, CPNP
• Amy Shaff, M. S., CCC-SLP
• Abbey Shaffer, BCBA

• Adult Companion in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Companion in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.