Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Russell Shane, MD

Individual provider Neurology Physician · NPI 1932720562

Bradley Russell Shane, MD is a Neurology in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2020, 6 years ago. Practices with Uc Regents, a 101-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
6
Trained at
University of Arizona College of Medicine
Licensed in
AZ, CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

240 W Thomas Rd Ste 400
Phoenix, AZ 85013-4407
Phone: (602) 406-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 15th St Ste 1024, Santa Monica, CA 90404-1145 — (424) 259-8570

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 80786 (AZ)
Neurology Physician Taxonomy 2084N0400X · Licence A194680 (CA)

Record details

NPI number1932720562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Uc Regents — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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