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

BRADLEY RUSSELL SHANE MD
NPI 1932720562
Psychiatry & Neurology - Neurology in Phoenix, AZ

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
240 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-6262 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 14, 2026, Jul 10, 2026, Jul 11, 2024 and 1 more (4 updates tracked since 2020).

About Bradley Russell Shane Md NPPES

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

BRADLEY RUSSELL SHANE MD (NPI 1932720562) is an individual neurology provider in Phoenix, Arizona, licensed in Arizona (80786) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of University Of Arizona College Of Medicine (2020).

NPPES Registry Identity

NPI1932720562
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBRADLEY RUSSELL SHANECredential: MD
Location Address240 W THOMAS RD STE 400Phoenix, AZ 85013-4407
Mailing Address240 W Thomas Rd Ste 301Phoenix, AZ 85013-4407 · (602) 406-6262
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2020
Enumeration DateMay 5, 2020
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1932720562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in AZ · 80786 Licensed in CA · A194680
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
240 W THOMAS RD STE 400, Phoenix, AZ 85013

Secondary Practice Location 1

Location 11260 15th St Ste 1024Santa Monica, CA 90404-1145 · Phone (424) 259-8570 · Fax (424) 259-6180

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bradley Russell Shane Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274956727
PECOS Enrollment IDI20240516003115
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Nurse Practitioner (Family)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Nurse Practitioner
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Psychiatry & Neurology (Neurology)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Physician Assistant (Medical)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Dietitian, Registered
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Psychiatry & Neurology (Neurology)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Psychiatry & Neurology (Neurology)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013

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 Bradley Shane's NPI number?

The NPI number for Bradley Shane is 1932720562. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Bradley Shane located?

Bradley Shane practices at 240 W Thomas Rd Ste 400, Phoenix, AZ 85013. The listed phone number is (602) 406-6262.

What is Bradley Shane's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bradley Shane enrolled in Medicare?

Yes. Bradley Shane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bradley Shane was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.