Bruce Dwight Stevens, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005186 Issued in GA

Practice address

2453 Towne Lake Pkwy
Woodstock, GA 30189-5525

Phone

(770) 592-2505

Fax

(770) 592-2433

NPI assigned

Mar 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Stevens Family Chiropractic, PC

  dba Woodstock Health Institute

  • Chiropractor
  • Woodstock, GA
  • NPI 1629602784
  Medicare reassignment NPD Authorized official
• Life Chiropractic

  • Chiropractor
  • Lompoc, CA
  • NPI 1407801038
  NPD (past) Authorized official
• Hurd Life Chiropractic, P.C.

  • Chiropractor
  • Lompoc, CA
  • NPI 1932679644
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1669503421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 QUIET HILL LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895535",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 TOWNE LAKE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895525",
            "telephone_number": "770-592-2505",
            "fax_number": "770-592-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BRUCE",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23697",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Maxwell Stephens, PT
• Steven D. Anderson, D.M.D., P.C.
• Steven J Isaacs DC PA
• Steven J Keith OD PC (Towne Lake Eye Associates)
• Stevens Family Chiropractic, PC (Woodstock Health Institute)
• Burton William Stevens Jr., DPT, SCS, ATC
• Matthew Garrett Stewart, OTR/L
• Stacy Arrington Stewart, DO
• William B Stewart, P.T.
• Stephen Randal Stiber, MSW, LCSW

• Chiropractor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.