Individual provider Active NPI

Cory Robert Stephenson, MD

  • Diagnostic Radiology Physician
  • Temple, TX
National Provider Identifier
1568969160
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V0188 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-4426
Phone
(254) 724-2111
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101277873 VA
Diagnostic Radiology Physician 2085R0202X V0188 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-4426

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-6176

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-4426
Phone (434) 924-9400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstephenson203844@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530001630 VA Practitioner - Diagnostic Radiology 4981938875 Reassigns benefits to 2 organizations
I20240530000383 TX Practitioner - Diagnostic Radiology 4981938875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101277873VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Diagnostic Radiology Current Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Aug 2, 2024 Accepting new patients
Scott & White Clinic Diagnostic Radiology CurrentSince Jun 5, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2024 Accepting new patients
University of Virginia Physicians Group CurrentSince Jun 29, 2023 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2024 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000

5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#1W256
Temple, TX 76508
Phone (254) 724-4507

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: cstephenson203844@direct.sw.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1568969160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765084426",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314426",
            "country_code": "US",
            "telephone_number": "214-345-6176",
            "fax_number": "214-345-5167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229084426",
            "country_code": "US",
            "telephone_number": "434-924-9400",
            "fax_number": "434-982-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CORY",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101277873",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V0188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstephenson203844@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765084426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.