National Provider Identifier
Brian Robert Shull, RPA-C
Brian Robert Shull, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 385-5555.
Profile Overview
- NPI
- 1114001443
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 24, 2006
- Last Updated
- July 08, 2007
Practice Location
- 10 Hagen Dr
- Ste 350
- Rochester, NY 14625-2660
Phone: (585) 385-5555
Mailing Address
- 33 Furman Cres
- Rochester, NY 14620-2801
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1114001443
- Entity Type
- Individual
- Last Name
- Shull
- First Name
- Brian
- Middle Name
- Robert
- Credential
- RPA-C
- Mailing Street Address
- 33 Furman Cres
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2801
- Mailing Country
- US
- Mailing Phone
- (518) 524-4314
- Practice Street Address
- 10 Hagen Dr
- Practice Address Line 2
- Ste 350
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2660
- Practice Country
- US
- Practice Phone
- (585) 385-5555
- Practice Fax
- (585) 385-5611
- Enumeration Date
- October 24, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)