Individual provider Active NPI

Stephen K Brinley, D.O.

  • Diagnostic Radiology Physician
  • Florence, AL
National Provider Identifier
1366444622
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO.137 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(256) 381-0400
Fax
(256) 386-0065
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DO-137 AL
Diagnostic Radiology Physician 2085R0202X DO.137 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 229
Sheffield, AL 35660-0229
Phone (662) 620-7102

Other identifiers 15

IdentifierTypeStateIssuer
000055298OtherALMEDICARE PROVIDER NUMBER
009971905MedicaidAL
51531400OtherALBC HALEYVILLE
009934436MedicaidAL
009911646MedicaidAL
009934434MedicaidAL
009911647MedicaidAL
51039506OtherALBC ECM
51524659OtherALBC OBGYN
528202620MedicaidAL
000039506MedicaidAL
51531399OtherALBC RUSSELLVILLE
51543278OtherALBC SHOALS
51543315OtherALBC EAST
C300OtherMC GROUP

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO-137ALMDSpecialist
DO.137ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC Past Accepting new patients
Florence MRI Diagnostic Specialist PastSince Oct 1, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1366444622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356600229",
            "telephone_number": "662-620-7102",
            "fax_number": "662-620-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINLEY",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "DO-137",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "DO.137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "000055298",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971905",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HALEYVILLE",
            "identifier": "51531400",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934436",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911646",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934434",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911647",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ECM",
            "identifier": "51039506",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OBGYN",
            "identifier": "51524659",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528202620",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000039506",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC RUSSELLVILLE",
            "identifier": "51531399",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SHOALS",
            "identifier": "51543278",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC EAST",
            "identifier": "51543315",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC GROUP",
            "identifier": "C300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.