Active NPI
Brenda Clay Stoner
- Rehabilitation Chiropractor
- Louisville, KY
National Provider Identifier
1164722831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 000296
- Practice address
- 2600 W Broadway
Suite 208
Louisville, KY 40211-1366 - Phone
- (502) 742-2300
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 000296 | KY | Primary |
Addresses
Primary practice location
2600 W Broadway
Suite 208
Louisville, KY 40211-1366
Mailing address
3700 Valdosta Ave
Louisville, KY 40218-2863
Phone (502) 491-2620
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000296 | KY | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1164722831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 VALDOSTA AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182863",
"telephone_number": "502-491-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W BROADWAY",
"address_2": "SUITE 208",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111366",
"telephone_number": "502-742-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONER",
"first_name": "BRENDA",
"middle_name": "CLAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "KY",
"license": "000296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.