Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brian Neal Shore, PAC

Individual provider Physician Assistant · NPI 1376544585

Mr. Brian Neal Shore, PAC is a Physician Assistant in Champaign, Illinois. Qualified in 2003, 23 years ago. Practices with Central Illinois Orthopedic Surgery II LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2110 Fox Dr
Champaign, IL 61820-7553
Phone: (217) 366-1237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002428 (IL)

Record details

NPI number1376544585
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESMarch 17, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Central Illinois Orthopedic Surgery Ii Llc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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