BRANDON M. SHAW PH.D – NPI #1255736039
Specialist/Technologist, Other

BRANDON SHAW is a technologist located in DETROIT, MI. NPPES has assigned the NPI number 1255736039 to BRANDON SHAW on October 23, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZG1000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Geneticist, Medical (PhD)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANDON SHAW below.

NPI Profile for
BRANDON M. SHAW

NPI Number
1255736039
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRANDON M. SHAW
Credentials
PH.D
Primary location
2799 W. GRAND BLVD.
DETROIT, MI 48202
Phone: (313) 870-1734 Fax: (313) 870-1701
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZG1000X
- Specialist/Technologist, Other / Geneticist, Medical (PhD) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.