Shore Fun Pediatrics

Shore Fun Pediatrics is a healthcare organization registered as Pediatrics Physician in Supply, NC, holding Type 2 (organization) NPI 1750420428 since 2007. The authorized official on file is Brucie Spivey-Cochran, Practice Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1750420428
Entity type	Organization (Type 2)
Legal business name	Shore Fun Pediatrics
Practice address	14 DOCTORS CIR, SUITE 3, Supply, NC, 28462
Phone	9107547075
Fax	9107542158
Enumeration date	2007-02-06
Last updated in NPPES	2020-08-22

Authorized official

Name	Brucie Spivey-Cochran
Title	Practice Manager
Phone	9107547075

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	—	—

Copy-ready billing details

Provider: Shore Fun Pediatrics
NPI: 1750420428
Taxonomy: 208000000X (Pediatrics Physician)
Address: 14 DOCTORS CIR, SUITE 3, Supply, NC, 28462

Providers at this address

NPI	Name	Type	Specialty	Location
1093719726	Susan Wilson	Individual	Obstetrics & Gynecology Physician	Supply, NC
1356345094	Larry Wilson	Individual	Obstetrics & Gynecology Physician	Supply, NC
1902890874	Lindian Swaim	Individual	Obstetrics & Gynecology Physician	Supply, NC
1861487332	Robert Hassler	Individual	Obstetrics & Gynecology Physician	Supply, NC
1528058963	North Carolina Physician Network, Inc.	Organization	Obstetrics & Gynecology Physician	Supply, NC
1467425348	Joseph Kibler	Individual	Primary Podiatric Medicine Podiatrist	Supply, NC
1134131584	Alicia Tyndall	Individual	Family Nurse Practitioner	Supply, NC
1790797108	Joanne Peck	Individual	Pediatrics Physician	Supply, NC

Verify this record

Cross-check NPI 1750420428 against the authoritative CMS record: view Shore Fun Pediatrics on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Shore Fun Pediatrics located?

The practice location on file with NPPES is in Supply, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.