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BRIAN SYDNEY SHAW DO
NPI 1871223701
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since June 14, 2022PECOS Enrolled
1417 E CONCORD ST, ORLANDO, FL 32803(407) 936-2785 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Sydney Shaw Do NPPES

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

BRIAN SYDNEY SHAW DO (NPI 1871223701) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871223701
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN SYDNEY SHAWCredential: DO
Location Address1417 E CONCORD STOrlando, FL 32803-5409
Mailing Address13330 Usf Laurel DrTampa, FL 33612-6601
Phone(407) 936-2785
Sole ProprietorYes
Enumeration DateJune 14, 2022
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1871223701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1417 E CONCORD ST, Orlando, FL 32803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Sydney Shaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIANA CAROLINA BOSCAN SANCHEZ M.D
Pediatrics
1417 E CONCORD ST
ORLANDO, FL 32803
Orange County (407) 936-2785
HANNAH SLEPPY PA-C
Physician Assistant
1417 E CONCORD ST
ORLANDO, FL 32803
Orange County (407) 936-2785
MRS. MICHELLE JOI CORNELL N.P.
Nurse Practitioner (Acute Care)
1417 E CONCORD ST
ORLANDO, FL 32803
Orange County (407) 936-2785
DR. SHERRY LEE BROOKS M.D.
Family Medicine
1417 E CONCORD ST
ORLANDO, FL 32803
Orange County (407) 936-2785

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 Brian Shaw's NPI number?

The NPI number for Brian Shaw is 1871223701. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Brian Shaw located?

Brian Shaw practices at 1417 E Concord St, Orlando, FL 32803. The listed phone number is (407) 936-2785.

What is Brian Shaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Shaw enrolled in Medicare?

Yes. Brian Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Shaw was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.