Bradley David Shepherd in Brookhaven - Internal Medicine
Bradley David Shepherd - NPI 1649327594
Bradley David Shepherd is a Internal Medicine in Brookhaven, Georgia. Bradley David Shepherd practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bradley David Shepherd is 1649327594. The last update date is 2018-10-05.
Bradley David Shepherd's current location address is 1001 Summit Blvd Ste 200, Brookhaven, Georgia. You can contact this provider via phone number 7709891668 and fax number 6783881759. The mailing address for Bradley David Shepherd is 1001 Summit Blvd Ste 200, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley David Shepherd |
|---|---|
| Address | 1001 Summit Blvd Ste 200, Brookhaven, Georgia |
| Phone Number | 7709891668 |
| Fax Number | 6783881759 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649327594 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2018-10-05 |
Provider Mailing Address Detail
| Address | 1001 Summit Blvd Ste 200 |
|---|---|
| City | Brookhaven |
| State | Georgia (GA) |
| Post Code | 303196410 |
| Phone Number | 7709891668 |
| Fax Number | 6783881759 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 40842 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3001215 | TN | -- | |
| P00646975 | RAILROAD MEDICARE | ||
| 003110772F | GA | -- | |
| 9476173 | AETNA | ||
| 4173855 | TN | BCBS | |
| 7100033070 | KY | KENTUCKY MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley David Shepherd by the Centers for Medicare & Medicaid Services?
The Bradley David Shepherd has been issued the NPI (National Provider Identifier) 1649327594 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bradley David Shepherd is physically located?
The Bradley David Shepherd is physically situated at the following address: 1001 Summit Blvd Ste 200, Brookhaven, GA, 303196410.
What is the area of specialization for Bradley David Shepherd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley David Shepherd is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Bradley David Shepherd receive the assignment of its 1649327594 from the Centers for Medicare & Medicaid Services?
The Bradley David Shepherd was issued its 1649327594 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details related to Bradley David Shepherd most recently updated or revised?
The information pertaining to Bradley David Shepherd, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-05.