NPIMap

Individual provider Active NPI

Marshall Shane Foster, M.D.

  • Family Medicine Physician
  • Brevard, NC
National Provider Identifier
1285717231
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
97-00552 Issued in NC
Practice address
377 Gallimore Rd
Brevard, NC 28712-8874
Phone
(828) 884-9030
Fax
(828) 884-3563
NPI assigned
Oct 23, 2006
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 97-00552 NC Primary

Addresses

Primary practice location

377 Gallimore Rd
Brevard, NC 28712-8874

Mailing address

377 Gallimore Rd
Brevard, NC 28712-8874
Phone (828) 884-9030

Other practice location 1

1409 Asheville Hwy
Brevard, NC 28712-9524
Phone (828) 435-8400

Other identifiers 7

IdentifierTypeStateIssuer
080108995OtherNCRAILROAD MEDICARE
561852981GOtherNCCIGNA
891051XMedicaidNC
01-70986OtherNCUNITED HEALTHCARE
1051XOtherNCBLUE CROSS BLUE SHIELD
0637660001OtherNCPALMETTO GOV. BENEFITS
NCM978DOtherNCMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfoster229831@direct.unc.nchie.net Direct
Direct Messaging Address missionhealth@direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000956 NC Practitioner - Family Practice 1850461716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Hospital CorporationGroup PAC ID 8123938115, shared by 20 NPIs, 231 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1409 Asheville Hwy
Brevard, NC 28712-9524
Phone (828) 435-8400

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
97-00552NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Henderson County Hospital Corporation Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Hendersonville Hematology and Oncology@Pardee Past Accepting new patients
Medical Associates of Transylvania PA Family Medicine Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1285717231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-9030",
            "fax_number": "828-884-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-9030",
            "fax_number": "828-884-3563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287129524",
            "country_code": "US",
            "telephone_number": "828-435-8400",
            "fax_number": "828-435-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MARSHALL",
        "middle_name": "SHANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-01-07",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "97-00552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080108995",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561852981G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891051X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-70986",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1051X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOV. BENEFITS",
            "identifier": "0637660001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCM978D",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfoster229831@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "1409 Asheville Hwy",
            "city": "Brevard",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287129524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "missionhealth@direct.msj.org",
            "affiliation": "N",
            "address_1": "1409 Asheville Hwy",
            "city": "Brevard",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287129524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.