Individual provider Active NPI

Stephen M Erle, DC

  • Sports Physician Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1407911316
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104556636 Issued in VA
Practice address
2380A Plank Rd
Ste a
Fredericksburg, VA 22401-4927
Phone
(540) 373-1303
Fax
(540) 373-6061
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104556636 VA Primary

Addresses

Primary practice location

2380A Plank Rd
Ste a
Fredericksburg, VA 22401-4927

Mailing address

2380A Plank Rd
Ste a
Fredericksburg, VA 22401-4927
Phone (540) 373-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120921000805 VA Practitioner - Chiropractic 0749252609 Reassigns benefits to 1 organization
I20250929000977 DC Practitioner - Chiropractic 0749252609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11510 Baldy Ewell Way
Spotsylvania, VA 22551-4681

1801 Robert Fulton Dr
Suite 140
Reston, VA 20191-4347

8266 Atlee Rd
Suite 224
Mechanicsville, VA 23116-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0104556636VAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
National Neuropathy Center Current Accepting new patients
Integrative Regional Medical Center, P.C. CurrentSince Aug 13, 2018 Accepting new patients
Dynamic Rehab & Spine Past Accepting new patients
360 Health and Rehab Sports Physician PastSince Jun 1, 2012 Accepting new patients

Locations

9701 Hospital Blvd
Fredericksburg, VA 22408
Phone (540) 779-0782

2380 Plank Rd
#A
Fredericksburg, VA 22401
Phone (540) 373-1303

8266 Atlee Rd
Ste 224
Mechanicsvlle, VA 23116
Phone (804) 454-7240

7481 Right Flank Rd
Ste 100
Mechanicsvlle, VA 23116
Phone (804) 616-4515

14300 Justice Rd
Midlothian, VA 23113
Phone (804) 454-7240

12700 McManus Blvd
Ste 101
Newport News, VA 23602
Phone (757) 223-5444

155 Kingsley Ln
Ste 300
Norfolk, VA 23505
Phone (757) 500-9024

1801 Robert Fulton Dr
Ste 140
Reston, VA 20191
Phone (703) 876-9300

477 Viking Dr
Ste 430
Virginia Beach, VA 23452
Phone (757) 514-1915

Organizations & group practices 4

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1407911316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380A PLANK RD",
            "address_2": "STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380A PLANK RD",
            "address_2": "STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014927",
            "telephone_number": "540-373-1303",
            "fax_number": "540-373-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLE",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104556636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.