Active NPI
Michael F. Stephens, M.D.
- Family Medicine Physician
- Bowling Green, KY
National Provider Identifier
1528031044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19928
- Practice address
- 250 Park St
Bowling Green, KY 42102-9577 - Phone
- (270) 745-1467
- Fax
- (270) 745-1156
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19928 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42102-9577
Mailing address
1287 River Bend Rd
Scottsville, KY 42164-9434
Phone (270) 303-1581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 759045 | Medicaid | AZ | |
| AZ0728150 | Other | AZ | BLUECROSS BLUESHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19928 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdez Medical Clinic,LLC | Family Medicine | Past | Accepting new patients |
| Casa Grande Emergency Physicians PLLC | Past | 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.
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1871589051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1528031044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 RIVER BEND RD",
"city": "SCOTTSVILLE",
"state": "KY",
"postal_code": "421649434",
"telephone_number": "270-303-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421029577",
"telephone_number": "270-745-1467",
"fax_number": "270-745-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHAEL",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "19928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "759045",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "AZ0728150",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.