Provider Demographics
NPI:1871620237
Name:SHAPIRO, BRANDON M (DC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:M
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WILLIAM HILTON PKWY
Mailing Address - Street 2:508 B
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2424
Mailing Address - Country:US
Mailing Address - Phone:843-342-5555
Mailing Address - Fax:
Practice Address - Street 1:430 WILLIAM HILTON PKWY
Practice Address - Street 2:508 B
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2424
Practice Address - Country:US
Practice Address - Phone:843-342-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor