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NPI Code Detail

MEDICARE: JEREMY BRIAN SHAPIRO MD

MEDICARE: JEREMY BRIAN SHAPIRO 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
12081P0010XPediatric Rehabilitation Medicine Physician35.147866OH
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician35.147866OH
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician57945KY
4208100000XPhysical Medicine & Rehabilitation Physician35.147866OH

General Provider Information

NPI Number : 1437653607
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY BRIAN SHAPIRO MD
Provider Business Mailing Address
First Line : 3333 BURNET AVENUE
Second Line : MLC 5018
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4315
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BURNET AVENUE
Second Line : MLC 5018
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 02/11/2026

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