Bryan, Joseph Shepard

Bryan, Joseph Shepard is an individual health care provider with primary practice located at 7600 N 15Th St Suite 155, Phoenix AZ 85020-4327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Bryan, Joseph Shepard can be contacted via phone (602) 242-4928.

Contact Information

Primary practice address
7600 N 15Th St Suite 155 Phoenix AZ 85020-4327
Phone: (602) 242-4928
Fax: (602) 249-4813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23580 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 23580 Arizona

Profile Details

NPI number 1881686558
LBN Legal business name Bryan, Joseph Shepard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881686558 NPPES
Arizona Other 18WCKDW04 MEDICARE PART B
Arizona MEDICAID 325127 MEDICARE PART B

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