Carl Brian Shory, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11475 Issued in AL

Practice address

2206 Cahaba Valley Dr
Birmingham, AL 35242-2666

Phone

(205) 995-2402

Fax

(205) 995-4011

NPI assigned

Jul 17, 2008

Last updated

Jul 17, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Hair International, LTD.

  • Specialist
  • Birmingham, AL
  • NPI 1871693531
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1558525618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 CAHABA VALLEY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422666",
            "telephone_number": "205-995-2402",
            "fax_number": "205-995-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 CAHABA VALLEY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422666",
            "telephone_number": "205-995-2402",
            "fax_number": "205-995-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORY",
        "first_name": "CARL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "11475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glori S Short, MD
• Kara Short, CRNP
• Quinn Hattaway Short, PHARMD
• Roland Short
• Susan Short, CRNP
• Lawrence G. Shory, MD
• Megan Shory
• Lauren Shouse
• Erin Nicole Showalter, DO
• Kevin Sidharth Shrestha, MD

• General Practice Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.