Bradford a Stephens MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD09433 Issued in OR

Legal business name

BRADFORD A STEPHENS MD PC

Practice address

601 Medical Pkwy
Enterprise, OR 97828-5124

Phone

(541) 426-3463

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Bradford A Stephens, M.D.

Title

President

Phone

(541) 426-3463

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• High Peaks Sports Medicine Center Doing business as

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1821280348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978460705",
            "telephone_number": "541-432-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD A STEPHENS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-426-3463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD09433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194723734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Peaks Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April D. Bieber, PA-C
• Kelly Louise Bigsby, RN
• Lauren Elizabeth Bihr, QMHA
• Kurt Alan Boesger, R.PH
• Kimberly Kay Botts
• Lisa Fitzgerald Bronson, RN
• Staci Louise Bronson, RN
• Bailey Browder
• Amy Busch
• Belinda Gayle Buswell

• Orthopaedic Surgery Physician in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.