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

Shawn Brodess

Individual provider General Practice Registered Nurse · NPI 1104547934

Shawn Brodess is a General Practice Registered Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 381510 (OH)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 381510 (OH)

Record details

NPI number1104547934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing address1138 S Main St, West Milton, OH 45383-1342

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