Brian Shore, PA C

ActiveIndividual ProviderPhysician Assistant
NPI issued: August 10, 2005

Quick Facts

NPI Number
1376544585
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(217) 366-1237
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1376544585)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 10, 2005)
Data source: CMS NPPES

Provider Overview

BRIAN SHORE, PA C is a Physician Assistant provider based in Champaign, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1376544585
Provider TypeIndividual Provider
GenderMale
CredentialPA C
StatusActive
Enumeration DateAugust 10, 2005

Practice Location

CityChampaign
StateIL
ZIP Code61820-7553
Phone(217) 366-1237

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateIL

Mailing Address

CityChampaign
StateIL
ZIP Code61820-7553
Phone(217) 366-1237
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1376544585 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1376544585for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1376544585 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Brian Shore's NPI number?
Brian Shore's NPI number is 1376544585, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brian Shore's NPI currently active?
Yes, Brian Shore's NPI status is Active as of the latest CMS NPPES database updates.
What does Brian Shore specialize in?
Brian Shore specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Brian Shore practice?
Brian Shore practices in Champaign, IL 61820-7553.
When was Brian Shore's NPI issued?
Brian Shore's NPI was issued on August 10, 2005.
What is Brian Shore's provider type?
Brian Shore is registered as an Individual Provider under CMS NPI Type 1.