David James Shepherd Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12880 Issued in OK

Practice address

721 W Broadway Ave Ste D
Enid, OK 73701-3800

Phone

(580) 237-0322

Fax

(580) 233-0402

NPI assigned

Jun 27, 2005

Last updated

Mar 7, 2023By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Enid Medical Associates

  • Internal Medicine Physician
  • Enid, OK
  • NPI 1619036167
  NPD (past)
• Uhs of Oklahoma Inc

  dba St Mary's Regional Medical Center

  • Diagnostic Radiology Physician
  • Enid, OK
  • NPI 1982795696
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174529986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-237-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W BROADWAY AVE STE D",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013800",
            "telephone_number": "580-237-0322",
            "fax_number": "580-233-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "12880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "730776935005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123330A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00066745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Groves, PLLC
• Christopher A Shearer, DO
• Garrett Shelton, MD
• Jeffrey Shelton
• Lorrene Louise Shelton, LPC
• David W Shepherd, MD
• Molly Tyner Shepherd, RD/LD
• Karber Curren Sheppard
• William Brian Shewey, O.D.
• Charles Robert Shields, MD

• Internal Medicine Physician in Enid, OK
• Providers in Enid, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.