Kevin Stephens MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9820 Issued in TX

Legal business name

KEVIN STEPHENS MD PA

Practice address

4100 Duval Rd
BLDG 2 Ste 202
Austin, TX 78759

Phone

(512) 454-1123

Fax

(512) 454-1710

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Austin Stephens, MDNPI 1255414314

Title

President MD

Phone

(512) 454-1123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Austin Stephens, MD

  • Family Medicine Physician
  • Austin, TX
  • NPI 1255414314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1710168935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG 2 STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-454-1123",
            "fax_number": "512-454-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG 2 STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-454-1123",
            "fax_number": "512-454-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN STEPHENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT MD",
        "authorized_official_telephone_number": "512-454-1123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kettle
• Travis Kettle, DDS
• Kevin E. Lew, DDS, MD, PLLC
• Kevin McFarley, PH.D. (Assessment Associates of Austin)
• Kevin P. Spencer, MD, PA
• Key Counseling
• Brittany Heather Key, P.A.
• John William Key IV, PT
• Richard Garrett Key, MD
• Samuel Newton Key III, MD

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.