The Doc Shoppe

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE DOC SHOPPE

Practice address

1704 Forest Dr
Corbin, KY 40701-2316

Phone

(606) 620-9770

Fax

(606) 620-9771

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Robert Jung, MDNPI 1174500482

Title

Owner

Phone

(606) 620-9770

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce R Jung, MD

  • Family Medicine Physician
  • Corbin, KY
  • NPI 1174500482
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1447945910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MARISA CT",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018935",
            "telephone_number": "606-280-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012316",
            "telephone_number": "606-620-9770",
            "fax_number": "606-620-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOC SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-620-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laronda Gail Terrell, LPCC
• Selma Terrell, CADC
• Mendy Nicole Terry, BS
• TFH Pharmacy
• The Body Bar Williamsburg
• Therapeutic Connection Massage & Wellness Spa
• Therapeutic Solutions
• Therapeutic Solutions of Corbin, LLC
• Allison Taylor Thiels
• Thomas J Moore MD LLC

• Family Medicine Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.