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

Q: 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.

Q: What is Bradley Shane's specialty?

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

Q: 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 2 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.

Active since May 05, 2020PECOS Enrolled

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: September 20, 2026.

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

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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

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

Phone(602) 406-6262

Sole ProprietorNo

Medical School CMSOtherGraduated 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

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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 (PECOS)

Bradley Russell Shane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274956727

PECOS Enrollment IDI20260726000018

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 10

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

JOHN LUKE HUDSON

Physician Assistant (Medical)