Individual provider Active NPI

Brian Layne Stephens, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1295761245
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88496 Issued in FL
Practice address
3840 Belfort Rd
#102
Jacksonville, FL 32216-8207
Phone
(904) 371-4051
Fax
(888) 745-5445
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME88496 FL Primary

Addresses

Primary practice location

3840 Belfort Rd
#102
Jacksonville, FL 32216-8207

Mailing address

4320 Deerwood Lake Pkwy Ste 101
Jacksonville, FL 32216-1180
Phone (904) 371-4051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040329000434 FL Practitioner - Family Practice 7416849948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Bag Medical IncGroup PAC ID 5698777100, 3 clinicians

Practice addresses (Care Compare)

3840 Belfort Rd
Suite 102
Jacksonville, FL 32216-8208
Phone (904) 371-4051

Hospital & facility affiliations

  • Heartland Hospice (Jacksonville) Hospice, Jacksonville, FL, CCN 101549
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Mayo Clinic Hospital, Jacksonville, FL, CCN 100151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black Bag Medical Inc Family Medicine CurrentSince Aug 31, 2006 Accepting new patients
Kindred Hospitals East, LLC CurrentSince Aug 31, 2006 Accepting new patients
First Coast Hospitalist P L Past Accepting new patients

Locations

4320 Deerwood Lake Pkwy
Ste 101
Jacksonville, FL 32216
Phone (904) 371-4051

4320 Deerwood Lake Pkwy
Jacksonville, FL 32216
Phone (904) 620-0599

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

3840 Belfort Rd
Ste 102
Jacksonville, FL 32216
Phone (904) 371-4051

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaJacksonville, FL, CCN 101549 Hospice W-2 Managing Employee Nov 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1295761245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161180",
            "telephone_number": "904-371-4051",
            "fax_number": "904-619-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD",
            "address_2": "#102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168207",
            "telephone_number": "904-371-4051",
            "fax_number": "888-745-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRIAN",
        "middle_name": "LAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.