Active NPI
Brian O Stephens, M.D.
- Orthopaedic Surgery Physician
- Alexandria, VA
National Provider Identifier
1114063435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101054622
- Practice address
- 106 N Lee St Ste 200
Alexandria, VA 22314 - Phone
- (703) 209-0735
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD040109 | DC | |
| Orthopaedic Surgery Physician | 207X00000X | D9972097 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | 0101054622 | VA | Primary |
Addresses
Primary practice location
106 N Lee St Ste 200
Alexandria, VA 22314
Mailing address
106 N Lee St Ste 200
Alexandria, VA 22314-3228
Phone (703) 209-0735
Other practice location 1
6501 Loisdale Ct
Springfield, VA 22150-1826
Phone (703) 922-1000
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040109 | DC | MD | Orthopaedic Surgery Physician |
| D9972097 | MD | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1114063435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N LEE ST STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143228",
"telephone_number": "703-209-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N LEE ST STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22314",
"telephone_number": "703-209-0735"
}
],
"practiceLocations": [
{
"address_1": "6501 Loisdale Ct",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221501826",
"country_code": "US",
"telephone_number": "703-922-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "BRIAN",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DC",
"license": "MD040109",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D9972097",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101054622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.