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JACK DOUGLAS SHEPHERD III
NPI 1093551202
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since July 08, 2024
1919 7TH AVE S, BIRMINGHAM, AL 35233(205) 934-3387 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Douglas Shepherd Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DOUGLAS SHEPHERD III (NPI 1093551202) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1093551202
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK DOUGLAS SHEPHERD III
Location Address1919 7TH AVE SBirmingham, AL 35233-2005
Mailing Address1919 7th Ave SBirmingham, AL 35233-2005 · (205) 934-3387
Phone(205) 934-3387
Sole ProprietorNo
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 7, 2024
✔ NPI 1093551202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An 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.
1919 7TH AVE S, Birmingham, AL 35233
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN CHASE SEELEY DMD
Dentist
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4507
DR. ALEXANDRIA BRITTANEY BROWN
Dentist (General Practice)
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SOOMIN CHO
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
PAYTON LEWIS
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SARAH CATHERINE LLOYD
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3000
DR. ERIC M. BLASINGAME DDS, MS
Dentist (Periodontics)
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4551
ETHAN LIAM PAGE BRENNA
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387
SAMUEL MCMURRY
Student in an Organized Health Care Education/Training Program
1919 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Shepherd's NPI number?

The NPI number for Jack Shepherd is 1093551202. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Jack Shepherd located?

Jack Shepherd practices at 1919 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-3387.

What is Jack Shepherd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Shepherd was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.