Brian Maurice Shefulsky, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2019041268 Issued in MO

Practice address

807 Owens Mill Rd
Stockton, MO 65785-8359

Phone

(417) 276-5500

Fax

(417) 876-3812

NPI assigned

Jul 20, 2015

Last updated

Mar 12, 2026By 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

Enrolled in MO, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Blue Medical LLC

  • General Practice Physician
  • Nixa, MO
  • NPI 1124818729
  Medicare reassignment NPD Authorized official
• Cherry Health Center, LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1770628620
  Medicare reassignment NPD
• DHHS PHS IHS Phoenix Area

  dba Ft Yuma Indian Health Center

  • Clinic/Center
  • Winterhaven, CA
  • NPI 1265719918

  TX

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1992189997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S PARK ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442037",
            "telephone_number": "417-876-2511",
            "fax_number": "417-876-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 OWENS MILL RD",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657858359",
            "telephone_number": "417-276-5500",
            "fax_number": "417-876-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 S State Highway 32",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "647442302",
            "country_code": "US",
            "telephone_number": "417-876-3333",
            "fax_number": "417-876-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Park St",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "647442037",
            "country_code": "US",
            "telephone_number": "417-876-2511",
            "fax_number": "417-876-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFULSKY",
        "first_name": "BRIAN",
        "middle_name": "MAURICE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2019041268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Purtle, RPH
• Jason Pyle
• Kristin Paige Robidou, M.D.
• Saving Grace Family Chiropractic
• Secure Excellence LLC
• Stockton R-I School District
• Thornton Natural Healthcare Centre
• Cheryl Thornton, PSY.D.
• Jeremy Dwain Thornton, D.C.
• Woods Supermarket Inc (Woods Pharmacy 2473)

• General Practice Physician in Stockton, MO
• Providers in Stockton, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.