Bryan Shores, M.A., CDC-I

ActiveIndividual ProviderAddiction Counselor
NPI issued: August 31, 2006

Quick Facts

NPI Number
1417069162
TypeIndividual
StatusActive
SpecialtyAddiction Counselor
Taxonomy101YA0400X — Addiction Counselor
Phone
(907) 442-7640
StateAK

NPI Validation Status: Verified

Valid 10-digit NPI number (1417069162)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 31, 2006)
Data source: CMS NPPES

Provider Overview

BRYAN SHORES, M.A., CDC-I is a Addiction Counselor provider based in Kotzebue, AK who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417069162
Provider TypeIndividual Provider
GenderMale
CredentialM.A., CDC-I
StatusActive
Enumeration DateAugust 31, 2006

Practice Location

CityKotzebue
StateAK
ZIP Code99752
Phone(907) 442-7640

Specialties & Licenses

★ Primary
SpecialtyAddiction Counselor
Taxonomy Code101YA0400X
License StateAK

Mailing Address

CityKotzebue
StateAK
ZIP Code99752
Phone(907) 442-7640
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1417069162 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 1417069162for 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 1417069162 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 Addiction Counselor

Specialists in Addiction Counselor provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
119,761
Addiction Counselor Providers in the US

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People Also Ask

What is Bryan Shores's NPI number?
Bryan Shores's NPI number is 1417069162, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bryan Shores's NPI currently active?
Yes, Bryan Shores's NPI status is Active as of the latest CMS NPPES database updates.
What does Bryan Shores specialize in?
Bryan Shores specializes in Addiction Counselor. The healthcare taxonomy code associated with this specialty is 101YA0400X.
Where does Bryan Shores practice?
Bryan Shores practices in Kotzebue, AK 99752.
When was Bryan Shores's NPI issued?
Bryan Shores's NPI was issued on August 31, 2006.
What is Bryan Shores's provider type?
Bryan Shores is registered as an Individual Provider under CMS NPI Type 1.