Active NPI
William Bradley Shook, D.C.
- Chiropractor
- Cornelius, NC
National Provider Identifier
1407006372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3898
- Practice address
- 18047 W Catawba Ave
Suite a
Cornelius, NC 28031-5664 - Phone
- (704) 892-7772
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3898 | NC | Primary |
Addresses
Primary practice location
18047 W Catawba Ave
Suite a
Cornelius, NC 28031-5664
Mailing address
18047 W Catawba Ave
Suite a
Cornelius, NC 28031-5664
Phone (704) 892-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3898 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1407006372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18047 W CATAWBA AVE",
"address_2": "SUITE A",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315664",
"telephone_number": "704-892-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18047 W CATAWBA AVE",
"address_2": "SUITE A",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315664",
"telephone_number": "704-892-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "WILLIAM",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.