Active NPI
Stephen A Segall, M.D.
- Internal Medicine Physician
- Poplar Bluff, MO
National Provider Identifier
1700882016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 116192
- Practice address
- 1879 N Westwood Blvd
Poplar Bluff, MO 63901-2833 - Phone
- (573) 776-6490
- Fax
- (573) 776-1608
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 116192 | MO | Primary |
Addresses
Primary practice location
1879 N Westwood Blvd
Poplar Bluff, MO 63901-2833
Mailing address
1879 N. Westwood
Poplar Bluff, MO 63901-2833
Phone (573) 776-6490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115389 | Other | MO | BLUECROSSBLUESHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| Dullenty Chiropractic Family Wellness Center, LLC | Past | Accepting new patients | |
| Black River Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Poplar Bluff, MO
- NPI 1376841064
-
- Chiropractor
- Poplar Bluff, MO
- NPI 1508095373
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700882016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 N. WESTWOOD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012833",
"telephone_number": "573-776-6490",
"fax_number": "573-776-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012833",
"telephone_number": "573-776-6490",
"fax_number": "573-776-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGALL",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "116192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "115389",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.