DR. BRIAN CHARLES SHANE (NPI# 1164599429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164599429 |
| Entity Type | Individual |
| Full Name | DR. BRIAN CHARLES SHANE |
| Credential | DC |
| Practice Address |
922 E Frank Phillips Blvd Bartlesville OK 74003 |
| Practice Telephone | 9183368316 |
| Practice Fax Number | 9183368780 |
| Mailing Telephone | 9183368316 |
| Mailing Fax Number | 9183368780 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2348 | OK | Chiropractic Providers |
| Street Address |
922 E FRANK PHILLIPS BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906190 | Lindsey Rovenstine | Chiropractor | 608 Se Delaware Ave, Suite A, Bartlesville, OK 74003-3615 | 2014-01-22 |
| 1356615066 | Jeremiah Benjamin, David Williams | Chiropractor | 518 Se Washington Blvd Ste B, Bartlesville, OK 74006-8236 | 2012-02-27 |
| 1083997902 | Semcresac Pllc | Chiropractor | 2523 Se Washington Blvd, Bartlesville, OK 74006-7613 | 2011-09-27 |
| 1518290113 | Rikki R Sydebotham | Chiropractor | 1601 Se Washington Blvd, Bartlesville, OK 74006-4933 | 2009-09-14 |
| 1437300985 | Brian C. Shane, Inc. | Chiropractor | 922 Se Frank Phillips Blvd, Bartlesville, OK 74003-4230 | 2008-10-02 |
| 1639245566 | James Richardson Riden | Chiropractor | 123 Ne Washington Blvd, Bartlesville, OK 74006-1635 | 2006-11-24 |
| 1316010572 | Tracy Owen Russell | Chiropractor | 2523 Se Washington Blvd., Bartlesville, OK 74006-8338 | 2006-11-16 |
| 1285710418 | Michael Dean Bush | Chiropractor | 600 S Keeler, Bartlesville, OK 74003 | 2006-10-31 |
| 1417040478 | William K. Lemay | Chiropractor | 1368 Se Washington Blvd Ste B, Bartlesville, OK 74006-4524 | 2006-10-02 |
| 1427026053 | Karen Faye Wallis | Chiropractor | 2401 Nowata Pl, Bartlesville, OK 74006-4733 | 2006-03-09 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
Please comment or provide details below to improve the information on DR. BRIAN CHARLES SHANE.
| 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.