Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BRYAN ARTHUR SHORES SR. M.A., CDC-I
NPI 1417069162
Counselor - Addiction (Substance Use Disorder) in Kotzebue, AK

Active since August 31, 2006
733 3RD, FERGUSON BUILDING, KOTZEBUE, AK 99752(907) 442-7640(907) 442-7749 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bryan Arthur Shores Sr. M.a., Cdc-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRYAN ARTHUR SHORES SR. M.A., CDC-I (NPI 1417069162) is an individual addiction (substance use disorder) provider in Kotzebue, Alaska and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417069162
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRYAN ARTHUR SHORES SR.Credential: M.A., CDC-I
Location Address733 3RD, FERGUSON BUILDINGKotzebue, AK 99752
Mailing Address5808 Cordova St, Apt. #2Anchorage, AK 99518-1355 · (907) 563-1000
Fax(907) 442-7749
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 21, 2026
NPI 1417069162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
733 3RD, Kotzebue, AK 99752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Shores's NPI number?

The NPI number for Bryan Shores is 1417069162. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bryan Shores located?

Bryan Shores practices at 733 3rd Ferguson Building, Kotzebue, AK 99752. The listed phone number is (907) 442-7640.

What is Bryan Shores's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bryan Shores was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.