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

Shannel Anyae Pegram, DO

Individual provider Occupational Medicine Physician · NPI 1710248653

Shannel Anyae Pegram, DO is an Occupational Medicine Physician in Jbsa Lackland, Texas. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Wilford Hall Loop # 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
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 183218 (NC)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 183218 (NC)

Record details

NPI number1710248653
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1100 Wilford Hall Loop # 4554, Jbsa Lackland, TX 78236-5638

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