BRIAN THOMAS SHEA (NPI# 1396758835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396758835 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS SHEA |
| Credential | D.O. |
| Practice Address |
777 29th St 400 Boulder CO 80303-2358 |
| Practice Telephone | 3034470022 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 36013 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 92021328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628807 | Brian Shea | Social Worker | 940 Woodsite Dr, Deland, FL 32720-3660 | 2020-08-05 |
| 1780081307 | Brian Shea | Specialist/Technologist | 973 Ventura Ave, Albany, CA 94707-2541 | 2014-11-25 |
| 1790197655 | Brian Joseph Shea | Surgery | 4230 Harding Pike Ste 430, Nashville, TN 37205-4901 | 2014-05-27 |
| 1801235619 | Brian Shea | Student in an Organized Health Care Education/Training Program | 4642 Utah St, Unit 3, San Diego, CA 92116-3169 | 2013-06-14 |
| 1003177387 | Brian P Shea | Counselor | 50 Park Row W, #426, Providence, RI 02903-1177 | 2012-06-04 |
| 1609020163 | Brian Shea | Registered Nurse | 484 Braxmar Rd, Tonawanda, NY 14150-8160 | 2008-11-11 |
| 1285857813 | Brian Mark Shea | Dentist | 335 Corey Street, West Roxbury, MA 02132-1614 | 2007-04-11 |
| Street Address |
777 29TH ST 400 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720035306 | Mary Ann Keatley | Speech-Language Pathologist | 777 29th St, Suite 400, Boulder, CO 80303-2358 | 2006-05-28 |
| 1790141539 | Integrity Dental of Boulder, Ltd | Clinic/Center | 777 29th St, Ste. #300, Boulder, CO 80303-2358 | 2016-01-09 |
| 1396121083 | Molly Barfield | Physical Therapist | 777 29th St, Suite 102, Boulder, CO 80303-2358 | 2015-08-04 |
| 1013349380 | Rachelle Kristine Price | Naturopath | 777 29th St, Suite 401, Boulder, CO 80303-2358 | 2013-08-08 |
| 1548480486 | Corbett William Summers II | Dentist | 777 29th St, Suite #300, Boulder, CO 80303-2358 | 2007-04-25 |
| 1215084892 | Susan Grace Gamm | Physical Therapist | 777 29th St, Ste 102, Boulder, CO 80303-2358 | 2007-01-04 |
| 1427153055 | Ricardo Esparza | Psychologist | 777 29th St, Suite 400, Boulder, CO 80303-2358 | 2006-09-14 |
| 1770509556 | Mary Ann Bolkovatz | Clinical Nurse Specialist | 777 29th St, Suite 401, Boulder, CO 80303-2358 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760694525 | Alex G Reish | Neuromusculoskeletal Medicine & OMM | 5377 Manhattan Cir Ste 200, Boulder, CO 80303-4345 | 2007-05-04 |
| 1306928478 | Lisa Robin Rittel | Neuromusculoskeletal Medicine & OMM | 2885 Aurora Avenue, Suite 35, Boulder, CO 80303 | 2006-10-19 |
| 1003885864 | Keith C Swan | Neuromusculoskeletal Medicine & OMM | 2150 Pearl St, Boulder, CO 80302-4525 | 2006-03-15 |
| 1477885895 | Healthy Z Osteopathic Family Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 2525 4th St, Suite 205, Boulder, CO 80304-4014 | 2010-02-10 |
| 1578601969 | Creekside Physical Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Ste 201, Boulder, CO 80303-4284 | 2007-02-01 |
| 1609897578 | David Eric Tanner | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Suite 201, Boulder, CO 80303-4284 | 2006-07-23 |
| 1114995024 | Eric Joseph Vanzura | Neuromusculoskeletal Medicine & OMM | 350 Broadway St, Ste 100, Boulder, CO 80305-3304 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101202 | Creekside Physical Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 600 S Airport Rd Unit Cd, Longmont, CO 80503-6475 | 2020-10-09 |
| 1497208904 | Jarvis Ryals | Neuromusculoskeletal Medicine & OMM | 84 Ironweed Dr, Pueblo, CO 81001-1048 | 2016-08-01 |
| 1457737819 | Acupuncture Physicians of Colorado | Neuromusculoskeletal Medicine & OMM | 9101 Harlan St # 350, Westminster, CO 80031-2924 | 2015-08-07 |
| 1548417157 | Erin Murphy Woessner | Neuromusculoskeletal Medicine & OMM | 5976 Flora Way, Arvada, CO 80004-3757 | 2008-08-26 |
| 1467613158 | Adam Lee Kilkenney | Neuromusculoskeletal Medicine & OMM | 5625 N Academy Blvd Ste 1800, Colorado Springs, CO 80918-3658 | 2008-06-24 |
| 1063609535 | Marshall Jeffrey Handleman | Neuromusculoskeletal Medicine & OMM | 205 Rutgers Pl, Woodland Park, CO 80863-8824 | 2007-09-28 |
| 1366633851 | Daniel Lopez | Neuromusculoskeletal Medicine & OMM | 9600 W Jewell Ave, Lakewood, CO 80232 | 2007-08-08 |
| 1649481433 | Michael A Landrum | Neuromusculoskeletal Medicine & OMM | 0105 Edwards Village Blvd A203, Edwards, CO 81632-2637 | 2007-05-24 |
| 1245458264 | Emmy Washburn Lawrason-kobobel | Neuromusculoskeletal Medicine & OMM | 801 Florida Rd Unit 11, Durango, CO 81301-4775 | 2007-04-23 |
| 1831212596 | Jennifer Jean Mcpeek | Neuromusculoskeletal Medicine & OMM | 942 Oak Street, Steamboat Springs, CO 80487 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
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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.