Individual provider Active NPI

Stephen Lee Graham, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1477521169
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4058 Issued in KY
Practice address
205 Moser Rd
Louisville, KY 40223-3176
Phone
(502) 245-9999
Fax
(502) 244-9784
NPI assigned
Mar 9, 2006
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4058 KY Primary
Chiropractor 111N00000X 08002116A IN

Addresses

Primary practice location

205 Moser Rd
Louisville, KY 40223-3176

Mailing address

205 Moser Rd
Louisville, KY 40223-3176
Phone (502) 245-9999

Other practice location 1

845 W Main St
Madison, IN 47250-3131
Phone (812) 955-7698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000386 KY Practitioner - Chiropractic 5395643928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 Moser Rd
Louisville, KY 40223-3113
Phone (502) 245-9999

205 Moser Rd
Louisville, KY 40223-3176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002116AINMDChiropractor
4058KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David a Stalker MD PA Past Accepting new patients
Graham Chiropractic Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1477521169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MOSER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233176",
            "telephone_number": "502-245-9999",
            "fax_number": "502-244-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MOSER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233176",
            "telephone_number": "502-245-9999",
            "fax_number": "502-244-9784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 W Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472503131",
            "country_code": "US",
            "telephone_number": "812-955-7698",
            "fax_number": "812-955-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4058",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002116A",
            "primary": false
        }
    ],
    "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 Sep 15, 2026; 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.