DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY DAVID SHEPHERD, MD

Active

BRADLEY DAVID SHEPHERD, MD is a Gastroenterology healthcare provider located in BROOKHAVEN, Georgia. NPI 1649327594 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · BROOKHAVEN, GA

Registration Details

NPI Number
1649327594
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2007 (19.6248040859 yrs)
Last Updated
Oct 5, 2018
Licenses
40842 (TN)
40842 (TN)
066420 (GA)

Practice Information

Address
1001 SUMMIT BLVD STE 200
BROOKHAVEN, GA, 303196410
Browse GA providers · Browse ZIP 30319
Phone
7709891668
Fax
6783881759
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in BROOKHAVEN, GA

Name Credential NPI
DR. KEVIN EDWIN WOODS M.D., M.P.H 1851437065
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.