NPI 1043411523 · live from the CMS NPI Registry
Brandon Chad Shelley, DPM
Podiatrist, Foot & Ankle Surgery in Rock Springs, WY. National Provider Identifier 1043411523, active.
NPI record
| NPI | 1043411523 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2631 Foothill Blvd, Suite C, Rock Springs, WY 82901 |
| Practice phone | 307-362-9545 |
| Enumerated | May 30, 2007 |
| Last updated | June 19, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 2007005956 (MO) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 218 (SD) |
| Podiatrist | 213E00000X | 218 (SD) |
| Podiatrist | 213E00000X | 2007005956 (MO) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 145 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.