Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN NEAL SHORE, PA C
ActiveMR. BRIAN NEAL SHORE, PA C is a Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1376544585 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1376544585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.978611466982 yrs)
- Last Updated
- Mar 17, 2015
- License
-
085002428 (IL)
Practice Information
- Address
-
2110 FOX DRCHAMPAIGN, IL, 618207553Browse IL providers · Browse ZIP 61820
- Phone
- 2173661237
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY LEE MARTINDILL | PA | 1609860782 |
| KORI L CARROLL | PA | 1598752628 |
| MS. HEATHER KONZELMANN | PA | 1720066251 |
| SHELLY JO REITEN | PAC | 1114994928 |
| ALLEN THOMAS | P.A.-C | 1033136635 |
| MR. JAMES B. CORNETT | P.A.-C. | 1538176862 |
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.