William Jennings Shields, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101024156 Issued in VA

Practice address

914 Denbigh Blvd
Grafton, VA 23692

Phone

(757) 874-0320

Fax

(757) 989-0276

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• W J Shields M D

  • Dermatology Physician
  • Grafton, VA
  • NPI 1164691689
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992768253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2696",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23609",
            "telephone_number": "757-874-0320",
            "fax_number": "757-989-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 DENBIGH BLVD",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "23692",
            "telephone_number": "757-874-0320",
            "fax_number": "757-989-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "WILLIAM",
        "middle_name": "JENNINGS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101024156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002959",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5969115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Physcian Services Inc
• Riverside Physician Services Inc
• Glenn D Shean, LCP
• Vanessa Sherlock, COTA/L
• Lois W Shields, NP
• Yulia N Small, PHARMD
• Catherine D Smithson, LCSW
• Christian L Spoo, PHARMD
• Rhonda T Sproles, LCSW
• W J Shields M D

• Dermatology Physician in Grafton, VA
• Providers in Grafton, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.