NPIMap

Individual provider Active NPI

Nathan Daniel Shepard, MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1972778892
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.28475 Issued in AL
Practice address
2152 Old Springville Rd
Birmingham, AL 35215-4005
Phone
(205) 838-6000
Fax
(205) 838-6999
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.28475 AL Primary
Family Medicine Physician 207Q00000X 47932 CO
Family Medicine Physician 207Q00000X 6934 AK

Addresses

Primary practice location

2152 Old Springville Rd
Birmingham, AL 35215-4005

Mailing address

2152 Old Springville Rd
Birmingham, AL 35215-4005
Phone (205) 838-6000

Other identifiers 1

IdentifierTypeStateIssuer
36873721MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418001024 ME Practitioner - Family Practice 9638221195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

492 Main St
Corinth, ME 04427-3273
Phone (207) 285-3435

891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1060
Phone (207) 564-4464

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6934AKMDFamily Medicine Physician
MD.28475ALMDFamily Medicine Physician
47932COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Services LLC CurrentSince Oct 5, 2023 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Oct 5, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
MRH Corp. Family Medicine Past Accepting new patients

Locations

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1972778892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 OLD SPRINGVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154005",
            "telephone_number": "205-838-6000",
            "fax_number": "205-838-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.28475",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36873721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.