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1144304213

NPI Code Detail

MEDICARE: SHAUN CHRISTIAN BRIERLY MD

MEDICARE: SHAUN CHRISTIAN BRIERLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	U3707	TX
2	207W00000X	Ophthalmology Physician	A73850	CA
3	207W00000X	Ophthalmology Physician	58913	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144304213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUN CHRISTIAN BRIERLY MD

Provider Business Mailing Address
First Line	:	63 S ROCKFORD DR STE 220
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85288-6226
Country	:	US
Telephone Number	:	602-955-1000
Fax Number	:	602-508-4830

Provider Business Practice Location Address
First Line	:	4800 N 22ND ST STE 120
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4962
Country	:	US
Telephone Number	:	602-955-1000
Fax Number	:	602-508-4830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	10/02/2023

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Directions to “ SHAUN CHRISTIAN BRIERLY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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