Dr. Brian Edward Shockley is a Vicksburg, Mississippi based male podiatrist with 28 years of experience in Podiatry. He completed his graduation from University Of Iowa, Rj & L Carver College Of Medicine in 1996. He is also affiliated with hospitals like Merit Health River Region. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brian Edward Shockley for Podiatry is MS80142 in Mississippi. Dr. Brian Edward Shockley is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Brian Edward Shockley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D P M
Experience:
28+ years
Medical School Attended:
University Of Iowa, Rj & L Carver College Of Medicine
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8325093792
Enrollment ID:
I20110329000330
NPI Number:
1477662229
NPI Enumeration Date:
29 Aug, 2006
NPI Last Update On:
26 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian Edward Shockley are as mentioned below.
License Number
Specialization
State
Status
MS80142
Podiatry
Mississippi
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Merit Health River Region (250031)
Vicksburg, MS
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian Edward Shockley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5963224
Other
Louisiana
AETNA
00119033
Medicaid
Mississippi
1540447
Medicaid
Louisiana
4800026580
Other
Louisiana
RAILROAD MEDICARE
1851563
Other
Mississippi
UNITED HEALTHCARE
4342670001
Other
Mississippi
MEDICARE DME
5963224
Other
Mississippi
AETNA
480026580
Other
Mississippi
RAILROAD MEDICARE
1851563
Other
Louisiana
UNITED HEALTHCARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1814 Mission 66, Vicksburg, Mississippi
Zip:
39180-3710
Phone Number:
601-638-7520
Fax Number:
601-638-7541
Patients can reach Dr. Brian Edward Shockley at 1814 Mission 66, Vicksburg, Mississippi or can call to book an appointment on 601-638-7520. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Vicksburg, MS
No other Podiatrist is available in Vicksburg, MS.