Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN EDWARD SHOCKLEY, D P M
ActiveDR. BRIAN EDWARD SHOCKLEY, D P M is a Podiatrist healthcare provider located in VICKSBURG, Mississippi. NPI 1477662229 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · VICKSBURG, MS
Registration Details
- NPI Number
- 1477662229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.931264607811 yrs)
- Last Updated
- Jan 26, 2011
- License
-
MS80142 (MS)
Practice Information
- Address
-
1814 MISSION 66VICKSBURG, MS, 391803710Browse MS providers · Browse ZIP 39180
- Phone
- 6016387520
- Fax
- 6016387541
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.