Active NPI
Brixey R Shelton, MD
- Vascular & Interventional Radiology Physician
- Germantown, TN
National Provider Identifier
1972506384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 10759
- Practice address
- 7695 Poplar Pike
Suite 101
Germantown, TN 38138-5947 - Phone
- (901) 685-2696
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10759 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 10759 | TN | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 21953 | MS |
Addresses
Primary practice location
7695 Poplar Pike
Suite 101
Germantown, TN 38138-5947
Mailing address
7695 Poplar Pike
Suite 101
Memphis, TN 38138-5947
Phone (901) 685-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3038071 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Radiological, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nuclear Radiology Physician
- Memphis, TN
- NPI 1457350514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1972506384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7695 POPLAR PIKE",
"address_2": "SUITE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381385947",
"telephone_number": "901-685-2696",
"fax_number": "901-682-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7695 POPLAR PIKE",
"address_2": "SUITE 101",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381385947",
"telephone_number": "901-685-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "BRIXEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "10759",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "10759",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "21953",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3038071",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.