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

Individual provider Psychiatry Physician · NPI 1811985062

Dr. Gregory Ernest Shadid, MD is a Psychiatry Physician in South Bend, Indiana. Practices as a sole proprietor and works from 4 locations. Licensed in Indiana, Oklahoma and Texas.

Licensed in
IN, OK, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1213 Leeper Ave
South Bend, IN 46617-1209
Phone: (574) 302-8786
Fax: (405) 310-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • Saint Mary'S College, Notre Dame, IN 46556 — (405) 570-3559
  • 1605 Sw 40th St, Moore, OK 73160-5432 — (574) 302-8786
  • 6212 Woodcrest Ln, Dallas, TX 75214-2337 — (574) 302-8786

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01082994A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence OK20542 (OK)
Psychiatry Physician Taxonomy 2084P0800X · Licence K1056 (TX)

Record details

NPI number1811985062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2005
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

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