Bruce M Stelmack, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0102-036910 Issued in VA

Practice address

10624 SE Charlotte Dr
Happy Valley, OR 97086-2161

Phone

(503) 498-6611

Fax

(888) 725-5420

NPI assigned

Jan 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Rehabilitation and Neurology Consultants, PC

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
  • NPI 1649469313
  NPD (past) Authorized official

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1851370191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 SE CHARLOTTE DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862161",
            "telephone_number": "503-498-6611",
            "fax_number": "888-725-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 SE CHARLOTTE DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862161",
            "telephone_number": "503-498-6611",
            "fax_number": "888-725-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELMACK",
        "first_name": "BRUCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102-036910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chynna I Springer, LPC
• Peter Josef St George, DO
• Tanisha Stafford
• Geoffrey Scott Staton, PHYSICAL THERAPIST
• Breanna Steele
• Delores K Stephens, ND
• Paul K Stewart, LCSW, CADCIII
• Deena Stipsky, MA
• Kathryn Stockbower, M.D.
• Lindsey Strasburg

• Physical Medicine & Rehabilitation Physician in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.