Brent D. Stewart, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1179 Issued in SC

Practice address

952 Dougherty Rd
Aiken, SC 29803-6018

Phone

(803) 648-2023

NPI assigned

Nov 17, 2005

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Stetty Palms, LLC

  • Chiropractor
  • Aiken, SC
  • NPI 1679642698
  Medicare reassignment NPD
• Stewart Chiropractic LLC

  dba Stewart Chiropractic Clinic

  • Chiropractor
  • Aiken, SC
  • NPI 1104013630
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1104808815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 DOUGHERTY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036018",
            "telephone_number": "803-648-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 DOUGHERTY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036018",
            "telephone_number": "803-648-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRENT",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chayse Christopher Stevens, B.S.
• Mandy Stevens, MA, SLP
• Mary Miranda Stevens, APRN CNM
• Teresa Beth Stevens, P.T.
• Stewart Chiropractic LLC (Stewart Chiropractic Clinic)
• Erin P Stewart, P.A.-C
• Lynn A Stewart, LMT, NMT
• Shane D Stewart, D.C.
• Courtney Still, R.N.
• Janine Marie Stocker, LPC

• Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.