Individual provider Active NPI

Stephen M Seabron, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1750490348
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13026 Issued in DC
Practice address
7619 13TH St NW
Washington, DC 20012-1429
Phone
(202) 365-2961
Fax
(202) 726-9416
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13026 DC Primary

Addresses

Primary practice location

7619 13TH St NW
Washington, DC 20012-1429

Mailing address

7619 13TH St NW
Washington, DC 20012-1429
Phone (202) 365-2961

Other identifiers 3

IdentifierTypeStateIssuer
110031264OtherDCMEDICARE RAILROAD
5112OtherDCBLUE CROSS BLUE SHIELD
025275500MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Washington Direct

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

State licenses

LicenseStateTypeSpecialty
13026DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M Seabron M. D. Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1750490348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121429",
            "telephone_number": "202-365-2961",
            "fax_number": "202-726-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121429",
            "telephone_number": "202-365-2961",
            "fax_number": "202-726-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABRON",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "13026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110031264",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5112",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025275500",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "endpointDescription": "http://provider.kareo.com/stephen-seabron",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7619 13th St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200121429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.