Active NPI
Brian Shwer,DPM
Doing business as Southaven Foot Clinic
- Podiatrist
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- BRIAN SHWER,DPM
- Doing business as
- Southaven Foot Clinic
- Practice address
- 564 Goodman Rd E
Southaven, MS 38671-9526 - Phone
- (662) 349-7333
- Fax
- (662) 349-0550
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian I Shwer, DPM
- Title
- Owner
- Phone
- (662) 349-7333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | TN | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | DPM458 | TN |
Addresses
Primary practice location
564 Goodman Rd E
Southaven, MS 38671-9526
Mailing address
564 Goodman Rd E
Southaven, MS 38671-9526
Phone (662) 349-7333
Other names 1
- Southaven Foot Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068201 | MS | DME Supplier - Physician - Podiatry | 9234259433 | Practice locations: Southaven, MS |
National Provider Directory
National Provider DirectoryLocations
564 Goodman Rd E
Southaven, MS 38671
Phone (662) 349-1959
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot Surgery Podiatrist
- Southaven, MS
- NPI 1588667414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612137600000",
"number": "1508034331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719526",
"telephone_number": "662-349-7333",
"fax_number": "662-349-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719526",
"telephone_number": "662-349-7333",
"fax_number": "662-349-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN SHWER,DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A",
"authorized_official_last_name": "SHWER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-349-7333",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "DPM458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southaven Foot Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southaven Foot Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.