Organization Active NPI

Stephen F. Defiore, D.C., P.a.

  • Chiropractor
  • Brady, TX
National Provider Identifier
1821119355
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4151 Issued in TX
Legal business name
STEPHEN F. DEFIORE, D.C., P.A.
Practice address
1407 S Bridge St
Brady, TX 76825-6609
Phone
(325) 597-5977
Fax
(325) 597-9661
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Stephen Frank Defiore, D.C.NPI 1851490346
Title
Owner
Phone
(325) 597-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4151 TX Primary

Addresses

Primary practice location

1407 S Bridge St
Brady, TX 76825-6609

Mailing address

1407 S Bridge St
Brady, TX 76825-6609
Phone (325) 597-5977

Other names 1

  • Brady Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001102 TX Part B Supplier - Clinic/Group Practice 4880681493 Receives reassigned benefits from 1 practitioner
Practice locations: Brady, TX

National Provider Directory

National Provider Directory

Locations

1407 S Bridge St
Brady, TX 76825
Phone (325) 597-5977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1821119355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S BRIDGE ST",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768256609",
            "telephone_number": "325-597-5977",
            "fax_number": "325-597-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S BRIDGE ST",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768256609",
            "telephone_number": "325-597-5977",
            "fax_number": "325-597-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F. DEFIORE, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DEFIORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-597-5977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brady, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.