NPIMap

Organization Active NPI

Brian Shwer, DPM

Doing business as Southaven Foot Clinic

  • Foot Surgery Podiatrist
  • Southaven, MS
National Provider Identifier
1548525918
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80146 Issued in MS
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
Jul 11, 2012
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Brian Shwer, DPMNPI 1588667414
Title
Provider/Owner
Phone
(662) 349-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 80146 MS Primary

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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian Shwer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1548525918",
    "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": "2012-07-11",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "SHWER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "662-349-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80146",
            "primary": true
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.