WILLIAM BRADLEY SHAW (NPI# 1699058628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058628 |
| Entity Type | Individual |
| Full Name | WILLIAM BRADLEY SHAW |
| Credential | DC |
| Practice Address |
479 E 500 S Salt Lake City UT 84111-3312 |
| Practice Telephone | 8015304802 |
| Practice Fax Number | 8015300146 |
| Mailing Telephone | 8015304802 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8054945-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366987588 | William Barnaby Shaw | Behavior Technician | 79 Poplar St, Apt 15, Roslindale, MA 02131-2506 | 2016-12-24 |
| 1073872586 | William H. Shaw | Urology | 5670 Vintage Oaks Circle, Delray Beach, FL 33484 | 2012-05-04 |
| 1730149550 | William E Shaw Jr. | Ophthalmology | 152 N Addison Ave Fl 1, Elmhurst, IL 60126-2821 | 2006-03-24 |
| 1689652133 | William E Shaw Jr. | Physician Assistant | 215 E 1st St Ste 326, Dixon, IL 61021-3190 | 2006-01-05 |
| 1750386280 | William E Shaw | Dentist | 531 Fond Du Lac Ave, Fond Du Lac, WI 54935-5441 | 2005-06-21 |
| 1316450125 | William Alton Shaw | Nurse Practitioner | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 | 2017-11-15 |
| 1801265236 | William David Shaw | Behavioral Analyst | 312 Whitwell Dr, Roanoke, VA 24019-2039 | 2015-09-16 |
| 1417344011 | William Shaw | Physical Medicine & Rehabilitation | 1125 Madison St, Jefferson City, MO 65101-5227 | 2015-04-21 |
| 1255636148 | William Shaw | Marriage & Family Therapist | 2115 County Road D E, Suite B, Maplewood, MN 55109-5353 | 2011-01-24 |
| 1619182771 | William Sommels Shaw | Dentist | 1010 Greentree Rd, Pittsburgh, PA 15220 | 2007-05-11 |
| Street Address |
479 E 500 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407042096 | Chelsea Satre | Massage Therapist | 479 E 500 S, Salt Lake City, UT 84111-3312 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098394 | Lindsay Kopp | Chiropractor | 1939 S 1100 E, Salt Lake City, UT 84106-3580 | 2019-02-02 |
| 1740744101 | Drd Enterprises, LLC | Chiropractor | 7186 S Highland Dr Ste 150, Salt Lake City, UT 84121-7324 | 2019-01-29 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1386159663 | Mikel Roy | Chiropractor | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2017-12-07 |
| 1508302225 | Scott Graziosa | Chiropractor | 3160 E Coronet Dr, Salt Lake City, UT 84124-3107 | 2017-01-19 |
| 1245642966 | Yasa LLC | Chiropractor | 5882 S 900 E Ste 100, Salt Lake City, UT 84121-1684 | 2014-05-29 |
| 1962814392 | John Corbaley | Chiropractor | 370 E South Temple Ste 100, Salt Lake City, UT 84111-1240 | 2014-05-20 |
| 1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| 1316291966 | Mark Frogley | Chiropractor | 1264 W Village Main Dr, Suite A, Salt Lake City, UT 84119-3396 | 2012-11-05 |
| 1548513088 | Taylor Robert Krick | Chiropractor | 1860 S 300 W, Suite B, Salt Lake City, UT 84115-2085 | 2012-10-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on WILLIAM BRADLEY SHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.