Individual provider Active NPI

Paul Gregory Stephenson, MS, F-AAA

  • Audiologist
  • Burleson, TX
National Provider Identifier
1033364997
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50572 Issued in TX
Practice address
811 NE Alsbury Blvd
Suite 900
Burleson, TX 76028-2668
Phone
(817) 426-4318
Fax
(817) 426-0127
NPI assigned
Nov 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50572 TX Primary

Addresses

Primary practice location

811 NE Alsbury Blvd
Suite 900
Burleson, TX 76028-2668

Mailing address

2800 W Higgins Rd
Suite 895
Hoffman Estates, IL 60169-2071
Phone (847) 843-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50572TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Me Pivot Holdings, LLC Past Accepting new patients
Metx LLC Past Accepting new patients
Metx, LLC Past Accepting new patients

Organizations & group practices 3

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1033364997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W HIGGINS RD",
            "address_2": "SUITE 895",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692071",
            "telephone_number": "847-843-1900",
            "fax_number": "847-843-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD",
            "address_2": "SUITE 900",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282668",
            "telephone_number": "817-426-4318",
            "fax_number": "817-426-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "PAUL",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "MS, F-AAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.