Brian Edward Shockley in Vicksburg - Podiatrist
Brian Edward Shockley - NPI 1477662229
Brian Edward Shockley is a Podiatrist in Vicksburg, Mississippi. Brian Edward Shockley practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian Edward Shockley is 1477662229. The last update date is 2011-01-26.
Brian Edward Shockley's current location address is 1814 Mission 66, Vicksburg, Mississippi. You can contact this provider via phone number 6016387520 and fax number 6016387541. The mailing address for Brian Edward Shockley is 1814 Mission 66, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Shockley |
|---|---|
| Address | 1814 Mission 66, Vicksburg, Mississippi |
| Phone Number | 6016387520 |
| Fax Number | 6016387541 |
| Sole Proprietor | N |
| Credentials | D P M |
NPI Number Detail
| NPI Number | 1477662229 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
| Address | 1814 Mission 66 |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391803710 |
| Phone Number | 6016387520 |
| Fax Number | 6016387541 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | MS80142 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5963224 | LA | AETNA | |
| 119033 | MS | -- | |
| 1540447 | LA | -- | |
| 4800026580 | LA | RAILROAD MEDICARE | |
| 1851563 | MS | UNITED HEALTHCARE | |
| 4342670001 | MS | MEDICARE DME | |
| 5963224 | MS | AETNA | |
| 480026580 | MS | RAILROAD MEDICARE | |
| 1851563 | LA | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian Edward Shockley by the Centers for Medicare & Medicaid Services?
The Brian Edward Shockley has been issued the NPI (National Provider Identifier) 1477662229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Edward Shockley's facilities are geographically located?
The facilities of Brian Edward Shockley are physically situated at the following location: 1814 Mission 66, Vicksburg, MS, 391803710.
What is the Brian Edward Shockley's area of specialization and corresponding taxonomy classification?
The Brian Edward Shockley's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1477662229 assigned to Brian Edward Shockley?
The Brian Edward Shockley was issued its 1477662229 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian Edward Shockley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Edward Shockley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-26.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA