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Active NPI 1770768491 Individual Practitioner Male Practitioner

Dr. Bruce G Shepard , PhD

Counselor - Professional • Kitty Hawk, NC

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Shepard, PhD is a registered healthcare professional specializing in Counselor - Professional in Kitty Hawk, NC. Practice services are available at 108 PINNACLE COURT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Pinnacle Court

Kitty Hawk, NC 279495911

Telephone 2522615454

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Kitty Hawk, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Kitty Hawk, NC (5194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NC 480

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsnc
75788 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467659136

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor, FAPA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 31, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2007

Registered at 108 PINNACLE COURT, KITTY HAWK, NC 279495911 (Tel: 2522615454)

📍
Updated Business Mailing Address December 31, 2007

Registered at 108 PINNACLE COURT, KITTY HAWK, NC 279495911 (Tel: 2522615454)

👤
Provider Name / Credentials Updated December 31, 2007

Recorded as BRUCE SHEPARD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2007

Counselor (License #480 in NC)

🟢
Initial NPI Registration & Enumeration December 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770768491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2007
Last Update: December 31, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

108 Pinnacle Court

Kitty Hawk, NC 279495911

Phone: 2522615454

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.