Individual provider Active NPI

Stephen Frank Defiore, D.C.

  • Chiropractor
  • Brady, TX
National Provider Identifier
1851490346
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4151 Issued in TX
Practice address
1407 S Bridge St
Brady, TX 76825-6609
Phone
(325) 597-5977
Fax
(325) 597-9661
NPI assigned
Sep 21, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 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 identifiers 1

IdentifierTypeStateIssuer
4151OtherTXCHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000522 TX Practitioner - Chiropractic 0941297568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4151TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Defiore, D.C., P.a. Chiropractor CurrentSince Aug 27, 2003 Accepting new patients
Lonestar Chiropractic Clinics Incorporated Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1851490346",
    "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": {
        "last_name": "DEFIORE",
        "first_name": "STEPHEN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "4151",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.
  • 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.