Individual provider Active NPI

Stephanie Bradley Hornbuckle, MD

  • Surgery Physician
  • Cherokee, NC
National Provider Identifier
1154589141
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2008-00320 Issued in NC
Practice address
1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719
Phone
(828) 497-9163
Fax
(828) 497-1723
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2008-00320 NC Primary

Addresses

Primary practice location

1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719

Mailing address

1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719
Phone (828) 497-9163

Other identifiers 2

IdentifierTypeStateIssuer
1154589141MedicaidNC
150XXOtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130828000312 TX Practitioner - General Surgery 0749355717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Brody School of Medicine at East Carolina University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Indian Hospital AuthorityGroup PAC ID 2062320393, 88 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Cherokee, NC 28719-9253

113 A Hospital Loop
Ciha Analenisgi Clinic
Cherokee, TX 28719-9253
Phone (828) 497-9163

55 Echota Church Rd
Tsali Care Center
Cherokee, TX 28719-9253
Phone (828) 497-9163

75 Painttown Rd
Cherokee, TX 28719-8742
Phone (828) 497-9163

77 Paint Town Rd
Ciha Oweni Clinic
Cherokee, TX 28719-9253
Phone (828) 497-9163

Hospital & facility affiliations

  • Cherokee Indian Hospital Authority Hospital, Cherokee, NC, CCN 340156
  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00320NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority CurrentSince Jan 25, 2024 Accepting new patients
Cherokee Indian Hospital Authority 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1154589141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBUCKLE",
        "first_name": "STEPHANIE",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2008-00320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154589141",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "150XX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.