MEDICARE: DR. BRIAN L SCHAPIRO M.D.

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	207ZC0006X	Clinical Pathology Physician	4301079403	MI
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	4301079403	MI
3	207ZD0900X	Dermatopathology (Pathology) Physician	4301079403	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BS079403	OTHER	MI	BCBSM
2	5647633	OTHER	MI	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710956123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN L SCHAPIRO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 230457
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97281-0457
Country	:	US
Telephone Number	:	503-906-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 S STATE ST STE 309
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-1658
Country	:	US
Telephone Number	:	503-906-7300
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	01/23/2024

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