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Delta Foot Clinics, Inc

Podiatric Clinic/Center in Vicksburg, MS · enumerated 2008 · authorized official Brian Shockley, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962689042

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Registry record

Entity type Organization (Type 2)
Legal business name Delta Foot Clinics, Inc
Other name <Unavail>
Practice address 1814 Mission 66, Vicksburg, MS, 39180
Fax (601) 638-7541
Enumeration date Jan 30, 2008
Last updated in NPPES Jan 28, 2011

Taxonomy & classification

261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities · License 80142 (MS) Primary

Authorized official

Name Brian Shockley
Title President/Owner

Other identifiers

Identifier Type State Issuer
4342670001 Other MS MEDOCARE DME
1851563 Other MS UNITED HEALTHCARE
00119033 Medicaid MS -
430434140A Other MS BCBS
5963224 Other MS AETNA
1540447 Medicaid LA -
480026580 Other MS RAILROAD MEDICARE
412865 Other MS FIRST HEALTH

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.

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Frequently asked questions

What is the NPI number for Delta Foot Clinics, Inc?
The NPI for Delta Foot Clinics, Inc is 1962689042, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Delta Foot Clinics, Inc?
NPPES lists Brian Shockley (President/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-28.