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

Brendon J Shibley

Individual provider Family Nurse Practitioner · NPI 1124833363

Brendon J Shibley is a Nurse Practitioner in Chandler, Arizona. Qualified in 2024, 2 years ago. Practices with Columbia Pain Management, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

585 N Juniper Dr Ste 150
Chandler, AZ 85226-2560
Phone: (480) 499-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 237599 (AZ)

Record details

NPI number1124833363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Columbia Pain Management, Inc. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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