BRIAN MAURICE SHEFULSKY DO
NPI 1992189997
General Practice in Stockton, MO

Active since July 20, 2015PECOS Enrolled
807 OWENS MILL RD, STOCKTON, MO 65785(417) 276-5500(417) 876-3812 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Jul 10, 2024, May 5, 2023 and 3 more (6 updates tracked since 2016).

About Brian Maurice Shefulsky Do NPPES

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

BRIAN MAURICE SHEFULSKY DO (NPI 1992189997) is an individual general practice provider in Stockton, Missouri, licensed in Missouri (2019041268) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992189997
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRIAN MAURICE SHEFULSKYCredential: DO
Location Address807 OWENS MILL RDStockton, MO 65785-8359
Mailing Address1401 S Park StEl Dorado Springs, MO 64744-2037 · (417) 876-2511 · Fax (417) 876-3812
Fax(417) 876-3812
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1992189997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MO · 2019041268
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
807 OWENS MILL RD, Stockton, MO 65785

Secondary Practice Locations 2

Location 11317 S State Highway 32El Dorado Springs, MO 64744-2302 · Phone (417) 876-3333 · Fax (417) 876-4509
Location 21401 S Park StEl Dorado Springs, MO 64744-2037 · Phone (417) 876-2511 · Fax (417) 876-3812

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 Maurice Shefulsky 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 3

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

Clinic/Center (Rural Health)
807 OWENS MILL RD
STOCKTON, MO 65785
Clinic/Center
807 OWENS MILL RD
STOCKTON, MO 65785
Emergency Medicine
807 OWENS MILL RD
STOCKTON, MO 65785

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 Shefulsky's NPI number?

The NPI number for Brian Shefulsky is 1992189997. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Brian Shefulsky located?

Brian Shefulsky practices at 807 Owens Mill Rd, Stockton, MO 65785. The listed phone number is (417) 276-5500.

What is Brian Shefulsky's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brian Shefulsky enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brian Shefulsky was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.