Individual provider Active NPI

Brett Christopher Stefan, D.C., MS

  • Sports Physician Chiropractor
  • Columbus, OH
National Provider Identifier
1003276981
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4558 Issued in OH
Practice address
2879 E Dublin Granville Rd
Columbus, OH 43231-4063
Phone
(614) 392-2732
Fax
(614) 392-2792
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4558 OH Primary

Addresses

Primary practice location

2879 E Dublin Granville Rd
Columbus, OH 43231-4063

Mailing address

2879 E Dublin Granville Rd
Columbus, OH 43231-4063
Phone (614) 392-2732

Other identifiers 1

IdentifierTypeStateIssuer
4558OtherOHCHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113001238 OH Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Pain Management 6204118987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Pain Management, Sports Medicine
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 S High St
Columbus, OH 43206-3400
Phone (614) 439-0451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4558OHMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Health Chiropractic German Village, LLC CurrentSince May 27, 2025 Accepting new patients

Locations

1201 S High St
Ste 2
Columbus, OH 43206

1201 S High St
Columbus, OH 43206
Phone (614) 443-8155

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1003276981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314063",
            "telephone_number": "614-392-2732",
            "fax_number": "614-392-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314063",
            "telephone_number": "614-392-2732",
            "fax_number": "614-392-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFAN",
        "first_name": "BRETT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "4558",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.