Provider Type Icon

DR. BRANDON CHAD SHELLEY DPM NPI 1043411523


NPI Information

NPI: 1043411523
Provider Name: DR. BRANDON CHAD SHELLEY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
2631 FOOTHILL BLVD
SUITE C
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 362-9545
Get Directions

DR. Brandon Chad Shelley, DPM is a foot and ankle surgery podiatrist in Rock Springs, WY with 20 years of experience. DR. Brandon Chad Shelley, DPM NPI is 1043411523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:2004

The provider's business location address is:

2631 FOOTHILL BLVD
SUITE C
ROCK SPRINGS, WY
ZIP 82901-771
Phone: (307) 362-9545
Fax: (307) 362-9732

The NPI 1043411523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 5/30/2007 and was last updated on 6/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery218SOUTH DAKOTANo
2213E00000XPodiatrist218SOUTH DAKOTANo
3213ES0103XPodiatristFoot & Ankle Surgery2007005956MISSOURINo
4213E00000XPodiatrist2007005956MISSOURINo
5213ES0103XPodiatristFoot & Ankle Surgery145WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15648250001OTHERMISSOURINORDIAN ADMINISTRATIVE
2W23F553MEDICARE PINKANSAS
335666011OTHERMISSOURIBC/BS OF KANSAS
4S107813MEDICARE UPINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.