Individual provider Active NPI

Bryan Stephens, D.C.

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1750706891
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12528 Issued in TX
Practice address
6200 Eldorado Pkwy Ste 200
McKinney, TX 75070-8792
Phone
(972) 529-9911
Fax
(972) 529-9419
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12528 TX Primary

Addresses

Primary practice location

6200 Eldorado Pkwy Ste 200
McKinney, TX 75070-8792

Mailing address

645 Clearwood Dr
Richardson, TX 75081-4810
Phone (214) 385-0857

Other identifiers 1

IdentifierTypeStateIssuer
1750706891MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629000253 TX Practitioner - Chiropractic 3375834914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6200 W Eldorado Parkway B
McKinney, TX 75070-5624
Phone (972) 529-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12528TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
HSC Chiropractic of McKinney LLC Chiropractor CurrentSince Aug 4, 2021 Accepting new patients

Locations

6200 Eldorado Pkwy
Ste 200
McKinney, TX 75070
Phone (972) 529-9911

6200 Eldorado Pkwy
Ste B
McKinney, TX 75070
Phone (972) 529-9911

6200 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 617-4130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1750706891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CLEARWOOD DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814810",
            "telephone_number": "214-385-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 ELDORADO PKWY STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708792",
            "telephone_number": "972-529-9911",
            "fax_number": "972-529-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750706891",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.