Brent H Shepherd (NPI# 1164687620, PAC ID# 6901081314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164687620 |
| PAC ID by PECOS | 6901081314 |
| Professional Enrollment ID | I20110429000123 |
| Full Name | Brent H Shepherd |
| Address |
109 Valle Ct Azle TX 76020-3650 |
| Phone Number | 8172871264 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450241 | FAITH COMMUNITY HOSPITAL |
| 450565 | PALO PINTO GENERAL HOSPITAL |
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 109 Valle Ct, Azle, TX 76020-3650 | 8172871264 | |
| 215 Chisholm Trl, Jacksboro, TX 76458-1403 | 9405676633 | JACK COUNTY HOSPITAL DISTRICT |
| 2517 Hwy 180 W, Suite A, Mineral Wells, TX 76067-8297 | 9403253706 | TEXAS HEALTHY AGING AND HORMONE THERAPY LLC |
| Street Address |
109 VALLE CT |
| City | AZLE |
| State | TX |
| Zip | 76020-3650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn L Scott | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Sandra K Parker | Family Medicine | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Gary L Hawkins Ii | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| John E Carter | Physician Assistant | Acclaim Physician Group Inc | 401 Stribling Dr, Azle, TX 76020-2581 |
| Ricky Gerald Wade | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Kriss E Myers | Family Medicine | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Mona Eltiar | Nurse Practitioner | Texas Health Physicians Group | 141 N Industrial, Azle, TX 76020-2901 |
| Jamie Sligar Strong | Optometry | 601 Northwest Pkwy B, Azle Vision Source, Azle, TX 76020-2930 | |
| Christopher M Opella | Family Medicine | 601 Northwest Pkwy, Suite C, Azle, TX 76020-2930 | |
| Carl Daniel Jordan | General Surgery | Texas Health Physicians Group | 137 N Industrial, Suite A, Azle, TX 76020-2991 |
| Find all physicians in zip 76020 | |||
| City | AZLE |
| Zip Code | 76020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AZLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brent H Shepherd.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.