Shields Brewster Abernathy, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

G42752 Issued in CA

Practice address

1050 Las Tablas Rd
Suite 3
Templeton, CA 93465-9729

Phone

(805) 434-1000

Fax

(805) 434-3265

NPI assigned

Jul 19, 2006

Last updated

Mar 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• Prier Medical Clinic a Professional Corporation

  • Infectious Disease Physician
  • Templeton, CA
  • NPI 1861499014
  NPD (past)
• Twin Cities Community Hospital, Inc.

  dba Twin Cities Community Hospital

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1508886235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAS TABLAS RD",
            "address_2": "SUITE 3",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659729",
            "telephone_number": "805-434-1000",
            "fax_number": "805-434-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAS TABLAS RD",
            "address_2": "SUITE 3",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659729",
            "telephone_number": "805-434-1000",
            "fax_number": "805-434-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "SHIELDS",
        "middle_name": "BREWSTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G42752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G427520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN NUMBER",
            "identifier": "77-0049521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Able 2 Adjust, Inc.
• Andre Marcel Acebo
• Achilles Prosthetics and Orthotics, Inc
• Adventist Health Physicians Network
• Adventist Health Physicians Network

• Allergy & Immunology (Internal Medicine) Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.