Brian Austin Shepherd, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557885 Issued in VA

Practice address

2900 Peters Creek Rd
Roanoke, VA 24019-3514

Phone

(540) 562-3100

NPI assigned

Dec 21, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Slakman ChiropracticGroup PAC ID 7214103472, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Slakman Chiropractic

  • Clinic/Center
  • Roanoke, VA
  • NPI 1760663223
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1073225934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193514",
            "telephone_number": "540-562-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193514",
            "telephone_number": "540-562-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "BRIAN",
        "middle_name": "AUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Shelton
• Lili Shen
• Shenandoah Valley Podiatry
• Amy Elizabeth Shepard
• Caylin Elizabeth Shepard, MSN, NP-C
• Sarah F Shepherd, NP
• Beruk Sherif, MD
• Christine Gorman Sherman, M.D.
• James Sherman, MD
• Jennifer Sherman, M.A., LPC

• Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.