Scott Lewis Stephenson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2865 Issued in TX

Practice address

1406 North Mechanic St
El Campo, TX 77437

Phone

(979) 543-8600

Fax

(979) 543-8734

NPI assigned

Jun 14, 2006

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bay City Health and Rehabilitation Center, LLC

  • Physical Therapist
  • Bay City, TX
  • NPI 1134410533
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1194768408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774372656",
            "telephone_number": "979-543-8600",
            "fax_number": "979-543-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 NORTH MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "979-543-8600",
            "fax_number": "979-543-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "SCOTT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001166002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "601181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Latch LLC
• South Texas Medical Clinics, P.a.
• Beryl D Southall, LPC
• Southwest Orthopedic Group, LLP
• Wilford Stephen
• Carrie Ann Stogner, L.A.T.
• Matthew Robert Strepka, DDS
• Brian M Swenson, DDS
• Cassandra Barnes Taylor
• Texas Em I Medical Services PA

• Chiropractor in El Campo, TX
• Providers in El Campo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.