Chad B Stephens, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

L3143 Issued in TX

Practice address

431 E State Highway 114 Ste 120
Southlake, TX 76092-4416

Phone

(817) 518-1112

Fax

(817) 518-1113

NPI assigned

Aug 4, 2005

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pain ManagementAlso: Sports Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299
  Medicare reassignment Care Compare group NPD
• NTSS-Pma PLLC

  • Interventional Pain Medicine Physician
  • Decatur, TX
  • NPI 1801146758

  Sports Medicine

  NPD (past) Authorized official
• Rural Interventional Pain Providers PLLC

  • Interventional Pain Medicine Physician
  • Southlake, TX
  • NPI 1649979774
  Authorized official Same address or phone
• Texas Pain Relief Group, PLLC

  dba Florida Pain Relief Group

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1487028387
  NPD
• Eastland Memorial Hospital District

  dba Eastland Memorial Hosptial

  • Medicare Defined Swing Bed Hospital Unit
  • Eastland, TX
  • NPI 1023353752

  Interventional Pain Medicine

  NPD (past)
• Eastland Memorial Hospital District

  dba Eastland Memorial Hospital

  • General Acute Care Hospital
  • Eastland, TX
  • NPI 1689650921

  Interventional Pain Medicine

  NPD (past)
• Gainesville Hospital District

  dba NTMC Orthopaedic Clinic

  • Clinic/Center
  • Gainesville, TX
  • NPI 1902317159
  NPD (past)
• Texas Diagnostic Imaging, P.a.

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1952378036
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1659372290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924416",
            "telephone_number": "817-518-1112",
            "fax_number": "817-518-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924416",
            "telephone_number": "817-518-1112",
            "fax_number": "817-518-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CHAD",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L3143",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L3143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148234112",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CG731",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elisa Staton, OTR/L
• Megan Steach, PMHNP-BC
• Steady Place Therapy PLLC
• Karen June Steffer, M.D.
• Paul Andrew Steinke, D.P.M.
• Jonna Stephenson, OTR
• Christopher John Steritz, OD
• Steve Welch Designs (urosport)
• Deanna M Stevens
• Stice Chiropractic & Wellness Center

• Interventional Pain Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.