1. Home
  2. Directory
  3. North Carolina
  4. Chapel Hill
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BRANDON MATTHEW SHORE MD
NPI 1922628411
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 24, 2020PECOS Enrolled
102 MASON FARM RD, CHAPEL HILL, NC 27514(984) 974-4462(919) 843-9355 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Matthew Shore Md NPPES

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

BRANDON MATTHEW SHORE MD (NPI 1922628411) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (261222) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922628411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON MATTHEW SHORECredential: MD
Location Address102 MASON FARM RDChapel Hill, NC 27514-4617
Mailing Address102 Mason Farm RdChapel Hill, NC 27514-4617
Phone(984) 974-4462
Fax(919) 843-9355
Sole ProprietorYes
Enumeration DateApril 24, 2020
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1922628411 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
License✔ Licensed in NC · 261222
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.
102 MASON FARM RD, Chapel Hill, NC 27514
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Matthew Shore Md 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 20

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

KELSI MICHELLE KAZMIERCZAK PT
Physical Therapist
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (784) 215-4774
WILLIAM DAVIS CHILD PT, DPT
Physical Therapist
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-5700
STEPHANIE SARAH PAVLOVICH MD, PHD
Internal Medicine
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
OLUDAMILOLA ADEOLA ALADESANMI MD
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
COLLIN-JAMAL SMITH
Dermatology
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-5783
TYLER MATHERNE DPT
Physical Therapist
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (984) 974-1000
JEFFREY LEE JENSEN MD/PHD
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27514
Orange County (849) 744-4629

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 Brandon Shore's NPI number?

The NPI number for Brandon Shore is 1922628411. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Brandon Shore located?

Brandon Shore practices at 102 Mason Farm Rd, Chapel Hill, NC 27514. The listed phone number is (984) 974-4462.

What is Brandon Shore's specialty?

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

Is Brandon Shore enrolled in Medicare?

Yes. Brandon Shore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Shore was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.