Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brian Edward Shockley, DPM

Individual provider Podiatrist · NPI 1477662229

Dr. Brian Edward Shockley, DPM is a Podiatry in Vicksburg, Mississippi. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
30
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1814 Mission 66
Vicksburg, MS 39180-3710
Phone: (601) 638-7520
Fax: (601) 638-7541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence MS80142 (MS)

Record details

NPI number1477662229
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJanuary 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare