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Bradley David Shepherd, MD
Gastroenterology Physician in Brookhaven, Georgia
NPI 1649327594

Bradley David Shepherd is a Gastroenterology Physician based in Athens, GA and is specialized in Gastroenterology. Bradley David Shepherd practices in Brookhaven, GA and has the professional credentials of MD. The NPI Number for Bradley David Shepherd is 1649327594 and holds a License No. 40842 (Georgia).

The current practice location address for Bradley David Shepherd is 1001 Summit Blvd Ste 200, Brookhaven, GA and can be reached out via phone at 770-989-1668 and via fax at 678-388-1759.

Location: 1001 Summit Blvd Ste 200, Brookhaven, GA, 30601-3806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649327594
Provider Name
Bradley David Shepherd
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Summit Blvd Ste 200, Brookhaven, GA, 30601-3806
Phone Number
770-989-1668
Fax Number
678-388-1759
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3001215 05 TN
P00646975 01 RAILROAD MEDICARE
003110772F 05 GA
0009476173 01 AETNA
4173855 01 TN BCBS
7100033070 01 KY KENTUCKY MEDICAID
institution
Provider Business Practice Location Address Details
Address
1001 Summit Blvd Ste 200
City
Brookhaven
State
Georgia
Zip
30319-6410
Phone Number
770-989-1668
Fax Number
678-388-1759
person
Provider Business Mailing Address Details
Address
1001 Summit Blvd Ste 200
City
Brookhaven
State
Georgia
Zip
30319-6410
Phone Number
770-989-1668
Fax Number
678-388-1759
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
40842 (Tennessee)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
40842 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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