Bryant David Stevener, DC
Individual provider Active NPI Chiropractor · Bow, NH
NPI 1679622856 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1679622856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 563-0799 (NH)
- Practice address
- 501 South St
Bow, NH 03304-3416 - Phone
- (603) 226-6430
- Fax
- (603) 226-4048
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 S St
Bow, NH 03304-3416
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000160 | NH | Practitioner - Chiropractic | 4880603430 | Practice locations: Bow, NH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 563-0799 | NH | Yes |
Addresses
Primary practice location
501 South St
Bow, NH 03304-3416
Mailing address
501 South St
Bow, NH 03304-3416
Phone (603) 226-6430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2806680 | Other | NH | AETNA |
| 352260 | Other | NH | HARVARD PILGRIM |
| 4404392 | Other | NH | UNITED HEALTHCARE |
| 0507739Y0NH01 | Other | NH | ANTHEM BC BS OF NH |
| 515210 | Other | NH | CIGNA |
Other providers in Bow, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.