Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN DAVID SHAFER, D.O.
ActiveDR. BRIAN DAVID SHAFER, D.O. is a Sports Medicine healthcare provider located in KINGSPORT, Tennessee. NPI 1316131998 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · KINGSPORT, TN
Registration Details
- NPI Number
- 1316131998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2007 (18.993452825215 yrs)
- Last Updated
- Feb 3, 2012
- Licenses
-
2009-01336 (NC)DO2151 (TN)
Practice Information
- Address
-
105 W STONE DRSTE 3AKINGSPORT, TN, 376603365Browse TN providers · Browse ZIP 37660
- Phone
- 4233926200
- Fax
- 4233926593
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| ERIC D PARKS | M.D. | 1295936391 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.