Basic Information
| Provider Information | |||||||||
| NPI: | 1992048037 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHEARER | ||||||||
| FirstName: | BRYAN | ||||||||
| MiddleName: | SCOTT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 100 | ||||||||
| Address2: | |||||||||
| City: | BRANSON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 656150100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013510659 | ||||||||
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| Practice Location | |||||||||
| Address1: | 620 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HARRISON | ||||||||
| State: | AR | ||||||||
| PostalCode: | 726012911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8704144000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2016010170 | MO | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | E8808 | AR | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.