DR. BRYAN INGRAM SHAW (NPI# 1073753273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073753273 |
| Entity Type | Individual |
| Full Name | DR. BRYAN INGRAM SHAW |
| Credential | M.D. |
| Practice Address |
851 Ireland Ave Fort Knox KY 40121-2722 |
| Practice Telephone | 5026240236 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2017-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
P6082 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337842 | Bryan Gerard Shaw | Pharmacist | 290 E John Carpenter Fwy, Irving, TX 75062-2730 | 2020-05-15 |
| Street Address |
851 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871575662 | Hope Lloyd Cox | Pharmacist | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2005-11-17 |
| 1700301314 | Trisha M Cook | Registered Nurse | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2017-08-04 |
| 1588911176 | Diane Marie Kennedy | Pharmacist | 851 Ireland Ave, Pharmacy Department, Fort Knox, KY 40121-2722 | 2012-08-14 |
| 1184874711 | Paul Anthony Walicke | Pharmacist | 851 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-2722 | 2008-09-18 |
| 1295930683 | Ireland Army Community Hospital | Clinic/Center | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2007-06-18 |
| 1508989492 | Zamil Sattaur | Emergency Medicine | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2007-04-07 |
| 1710004833 | Ann M Morley | Pharmacist | 851 Ireland Ave, Ireland Army Community Hospital-pharmacy, Fort Knox, KY 40121-2722 | 2007-03-23 |
| 1023166527 | Dean Richard Giulitto | Family Medicine | 851 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-2722 | 2007-01-08 |
| 1487718292 | Scott E Elliott | Social Worker | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2006-12-19 |
| 1437210580 | Rhonda L Earls | Advanced Practice Midwife | 851 Ireland Ave, Fort Knox, KY 40121-2722 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1821637125 | Ocean Behavioral Healthcare LLC | Psychiatry & Neurology | 310 E Broadway Ste 102, Louisville, KY 40202-1745 | 2020-01-03 |
| 1457995912 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1710 Highway 121 Byp N Ste I, Murray, KY 42071-8925 | 2019-10-28 |
| 1740823780 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 761 Jefferson Pl, Taylor Mill, KY 41015-2233 | 2019-10-22 |
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1972902526 | S. Montgomery Md & Associates Behavioral Healthcare | Psychiatry & Neurology | 620 Carlton Drive, Suite 101, Owensboro, KY 42303 | 2014-08-20 |
| 1922427517 | Astra Behavioral Health LLC | Psychiatry & Neurology | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2014-04-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.