GREGORY WILLIAM SHIELDS MD NPI 1699733683

NPI Information

NPI: 1699733683
Provider Name: GREGORY WILLIAM SHIELDS, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1108 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 793-8087
Get Directions

Gregory William Shields, MD is a pulmonary disease internal medicine in Dothan, AL with 44 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Gregory William Shields, MD NPI is 1699733683. 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:1980

The provider's business location address is:

1108 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-022
Phone: (334) 793-8087
Fax: (334) 793-8191

The NPI 1699733683 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 enumeration date for this NPI number is 5/2/2006 and was last updated on 5/23/2008.

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
1	207RP1001X	Internal Medicine	Pulmonary Disease	00014931	ALABAMA	Yes

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
1	051007047	OTHER	ALABAMA	BCBS AL
2	061675300	MEDICAID	FLORIDA
3	000091248	MEDICARE PIN	ALABAMA
4	290012949	MEDICARE PIN
5	537850840B	MEDICAID	GEORGIA
6	D05762	MEDICARE UPIN	ALABAMA
7	000091248	MEDICAID	ALABAMA

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: 4/28/2024

NPI Synchronization or Removal

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