Individual
ROBERT EDWARD SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1317 N ELM ST, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-4285
(336) 482-2177
Mailing address
1317 N ELM STREET, SUITE 1 B, GREENSBORO, NC 27401-1023
(336) 274-4285
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0024708
NC
2085R0202X
Diagnostic Radiology Physician
Primary
24708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1085
PARTNERS
NC
01
—
1600280
UNITED HEALTHCARE
NC
05
—
1790733780
—
VA
01
—
300065910
RAILROAD MEDICARE
NC
01
—
70516
MEDCOST
NC
01
—
75686
BCBS
NC
05
—
8975686
—
NC
Enumeration date
05/04/2006
Last updated
12/20/2010
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