NPI age
19 years
Enumerated 2007-01-04
● Active
Type 1 · Individual
Bradley David Shepherd, MD
Shepherd is 1 of 3 internal medicine providers in Brookhaven and 1 of 643 in Georgia.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-10-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 643 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
2
In the 30% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1001 Summit Blvd Ste 200
Brookhaven, GA 303196410
Mailing address
1001
Athens, GA 306013806
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3001215 | |
| 01 | P00646975 | RAILROAD MEDICARE |
| 05 (GA) | 003110772F | |
| 01 | 0009476173 | AETNA |
| 01 (TN) | 4173855 | BCBS |
| 01 (KY) | 7100033070 | KENTUCKY MEDICAID |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.