Individual provider Active NPI

Brady Kevin Stevens

  • Pediatrics Physician
  • Wilmington, DE
National Provider Identifier
1053990796
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
FS4141797 Issued in PA
Practice address
1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607
Phone
(302) 651-5874
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X FS4141797 PA Primary

Addresses

Primary practice location

1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607

Mailing address

1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607
Phone (302) 651-5874

Other practice location 1

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040

Other practice location 2

2050 S Queen St
York, PA 17403-4829
Phone (717) 812-4240

Other practice location 3

2339 S George St
York, PA 17403-5009
Phone (717) 812-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240723002157 DE Practitioner - Hospitalist 9638615925 Reassigns benefits to 1 organization
I20250730001125 PA Practitioner - Pediatric Medicine 9638615925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
FS4141797PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 11, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Aug 11, 2025 Accepting new patients
The Nemours Foundation CurrentSince Jul 1, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
The Nemours Foundation CurrentSince Jul 1, 2024 Accepting new patients
Thomas Jefferson University Hospitals Inc Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

1600 Rockland Rd
Ste 3D16
Wilmington, DE 19803
Phone (302) 651-5874

3065 Windsor Rd
Red Lion, PA 17356
Phone (717) 812-3040

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

2339 S George St
York, PA 17403
Phone (717) 812-3040

2050 S Queen St
#100
York, PA 17403
Phone (717) 812-4240

2050 S Queen St
York, PA 17403
Phone (717) 812-2316

Interoperability endpoints

  • Direct secure messaging: bstevens476030@wellspan.direct-ci.com

Organizations & group practices 7

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1053990796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD STE 3D16",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD STE 3D16",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-848-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2339 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035009",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BRADY",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "FS4141797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.