BRADLEY DAVID SHEPHERD MD NPI 1649327594

NPI Information

  • NPI: 1649327594
  • Provider Name: BRADLEY DAVID SHEPHERD, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 SUMMIT BLVD STE 200
    BROOKHAVEN, GA
    ZIP 30319
  • Phone: (770) 989-1668

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NPI Details

Bradley David Shepherd, MD is a gastroenterology internal medicine in Brookhaven, GA with 22 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 esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43259)
  • Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS:74328)
  • Incision of pancreatic outlet using a flexible endoscope (HCPCS:43262)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

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: 11/21/2025

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