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

Mr. Brian Shipley Jr.

Individual provider Peer Specialist · NPI 1093404311

Mr. Brian Shipley Jr. is a Peer Specialist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

1106 Hillcrest Ave
Tahlequah, OK 74464-4610
Phone: (918) 506-0851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1093404311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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