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NPI Code Detail

MEDICARE: SHELLY K. BROLINE, M.D., P.A.

MEDICARE: SHELLY K. BROLINE, M.D., P.A.
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
1207UN0902XNuclear Imaging & Therapy PhysicianL9112TX
2207UN0901XNuclear Cardiology PhysicianL9112TX
32083P0901XPublic Health & General Preventive Medicine PhysicianL9112TX
4207U00000XNuclear Medicine PhysicianL9112TX

General Provider Information

NPI Number : 1164898557
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELLY K. BROLINE, M.D., P.A.
Provider Business Mailing Address
First Line : 3014 SILVERBELL CT
Second Line :
City : BRYAN
State : TX
Zip : 77807-1601
Country : US
Telephone Number : 713-446-2526
Fax Number :
Provider Business Practice Location Address
First Line : 3014 SILVERBELL CT
Second Line :
City : BRYAN
State : TX
Zip : 77807-1601
Country : US
Telephone Number : 713-446-2526
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SHELLY BROLINE SITTON
Credential :
Telephone Number : 713-446-2526
Provider Enumeration Date : 08/19/2015
Last Update Date : 01/20/2026

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