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BRADLEY DAVID SHEPHERD MD NPI 1649327594


NPI Information

NPI: 1649327594
Provider Name: BRADLEY DAVID SHEPHERD, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
1001 SUMMIT BLVD STE 200
BROOKHAVEN, GA
ZIP 30319
Phone: (770) 989-1668
Get Directions

Bradley David Shepherd, MD is a gastroenterology internal medicine in Brookhaven, GA with 20 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Bradley David Shepherd, MD NPI is 1649327594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1001 SUMMIT BLVD STE 200
BROOKHAVEN, GA
ZIP 30319-410
Phone: (770) 989-1668
Fax: (678) 388-1759

The NPI 1649327594 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine40842TENNESSEENo
2207RG0100XInternal MedicineGastroenterology066420GEORGIAYes
3207RG0100XInternal MedicineGastroenterology40842TENNESSEENo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100033070OTHERKENTUCKYKENTUCKY MEDICAID
23001215MEDICAIDTENNESSEE
30009476173OTHERAETNA
4003110772FMEDICAIDGEORGIA
54173855OTHERTENNESSEEBCBS
6P00646975OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.