Healthcare Provider Details

I. General information

NPI: 1942136080
Provider Name (Legal Business Name): SHELMADINE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 W 2ND ST
ALLIANCE NE
69301-3318
US

IV. Provider business mailing address

1207 W 2ND ST
ALLIANCE NE
69301-3318
US

V. Phone/Fax

Practice location:
  • Phone: 402-205-1610
  • Fax:
Mailing address:
  • Phone: 402-205-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN D SHELMADINE
Title or Position: OWNER
Credential: DO
Phone: 402-205-1610