Individual provider Active NPI

Charles Grady Stepherson, DO

  • Diagnostic Radiology Physician
  • Deerfield, WI
National Provider Identifier
1508835596
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38130 Issued in WI
Practice address
832 Graffin Rd
Deerfield, WI 53531-9789
Phone
(608) 239-8263
NPI assigned
Mar 14, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 38130 WI
Diagnostic Radiology Physician 2085R0202X 38130 WI Primary

Addresses

Primary practice location

832 Graffin Rd
Deerfield, WI 53531-9789

Mailing address

832 Graffin Rd
Deerfield, WI 53531-9789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040426000444 WI Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 3375539125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Nova Southeastern College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-8328

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38130WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince May 29, 2012 Accepting new patients
Fort Healthcare Inc CurrentSince Dec 1, 2009 Accepting new patients
Fort Healthcare Inc CurrentSince Dec 1, 2009 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
Richland Hospital Past Accepting new patients

Locations

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: cstepherson16281@direct.uwhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1508835596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 GRAFFIN RD",
            "city": "DEERFIELD",
            "state": "WI",
            "postal_code": "535319789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 GRAFFIN RD",
            "city": "DEERFIELD",
            "state": "WI",
            "postal_code": "535319789",
            "telephone_number": "608-239-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHERSON",
        "first_name": "CHARLES",
        "middle_name": "GRADY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WI",
            "license": "38130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "38130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, WI

Sources for this page

Verify at the official NPI Registry.