BRADLEY RUSSELL SHANE MD
NPI 1932720562
Psychiatry & Neurology - Neurology in Phoenix, AZ
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 Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Russell Shane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bradley Shane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85013
- Reassigned Medicare billing, Arizona enrollment
- 773 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 enrollment system.
Which organization bills Medicare for Bradley Shane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Shane reassigns Medicare benefits to Sjhmc Physician Services (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Shane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Shane accept?
Health plans from Cigna HealthCare of Arizona, Inc list Bradley Shane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 3 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.
# Bradley Russell Shane, MD · NPI 1932720562
Neurology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 5, 2020.
## Identity
- **NPI:** 1932720562 (Entity type: Individual)
- **Enumerated:** May 5, 2020
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 80786 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 W THOMAS RD STE 400, Phoenix, AZ 85013-4407
- **Phone:** (602) 406-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sjhmc Physician Services (NPI 1326098005, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932720562) · Data from the CMS NPPES public registry.