Brandon Kay Shumway, M.D. – Family Medicine Physician

Key facts

NPI: 1992230437
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: A158473 (CA)
Practice address: 2740 Herndon Ave
Clovis, CA 93611-6813
Phone: (559) 299-2608
NPI assigned: Apr 21, 2017
Sex: Male
Sole proprietor: No

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.

Central Valley Indian Health Inc Clinic/Center · Prather, CA · NPI 1902025059

Medicare reassignment Care Compare group NPD CA · FAMILY MEDICINE
Central Valley Indian Health, Inc. Clinic/Center · Clovis, CA · NPI 1235670787

NPD FAMILY MEDICINE

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Fresno Community Hospital and Medical Center General Acute Care Hospital · Clovis, CA · NPI 1316027709

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Central Valley Indian Health Inc (33 clinicians)

Practice addresses (Care Compare)

255 W Bullard Ave
Suite 109
Clovis, CA 93612-0861
Phone (559) 325-5715

Hospital & facility affiliations

Clovis Community Medical Center Hospital · Clovis, CA · CCN 050492

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210830002857	CA	Practitioner - Family Practice	7113323106	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
A158473	CA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Central Valley Indian Health, Inc.	Family Medicine	Current since Aug 11, 2021	Accepting new patients
Central Valley Indian Health Inc	Family Medicine	Current since Aug 11, 2021	Accepting new patients

Locations

255 W Bullard Ave
Ste 109
Clovis, CA 93612
Phone (559) 297-7563

2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608

16835 Alkali Dr
Ste M
Lemoore, CA 93245
Phone (559) 924-0460

29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	A158473	CA	Yes

Addresses

Primary practice location

2740 Herndon Ave
Clovis, CA 93611-6813

Mailing address

11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone (909) 558-4918

Other providers in Clovis, CA

All providers in Clovis, CA · Family Medicine Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.