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

Dr. Jon Andrew Shull, MD

Individual provider Family Medicine Physician · NPI 1013948348

Dr. Jon Andrew Shull, MD is a Family Medicine Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1708 High St
South Bend, IN 46613-2633
Phone: (574) 647-1400
Fax: (574) 237-6663
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01064025A (IN)

Record details

NPI number1013948348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 28, 2009
Mailing address3355 Douglas Rd, Suite 300, South Bend, IN 46635-1781

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