Individual provider Active NPI

Brian Harris Stiefel, M.D.

  • Family Medicine Physician
  • Marion, VA
National Provider Identifier
1972565265
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101229123 Issued in VA
Practice address
1020 Terrace Dr
Suite 200
Marion, VA 24354-4392
Phone
(276) 783-7167
Fax
(276) 783-6432
NPI assigned
Apr 4, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101229123 VA Primary

Addresses

Primary practice location

1020 Terrace Dr
Suite 200
Marion, VA 24354-4392

Mailing address

1020 Terrace Dr
Suite 200
Marion, VA 24354-4392
Phone (276) 783-7167

Other identifiers 3

IdentifierTypeStateIssuer
288271OtherVAANTHEM
436240OtherVASOUTHERN HEALTH
0005641551MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000384 VA Practitioner - Family Practice 9931240330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 Terrace Dr
Suite 200
Marion, VA 24354-4393
Phone (276) 783-7167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.44 of 100Reported as apm
Quality
79.59
Promoting interoperability
97.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101229123VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Medical Associates PC Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Royal Oak Medical Associates PC Family Medicine Current Accepting new patients
Royal Oak Medical Associates PC Family Medicine Past Accepting new patients

Locations

100 Francis Marion Ln
Marion, VA 24354
Phone (276) 782-1396

1020 Terrace Dr
Ste 200
Marion, VA 24354
Phone (276) 783-7167

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

1616 N Main St
Ste C
Marion, VA 24354
Phone (276) 783-7167

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1972565265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-7167",
            "fax_number": "276-783-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-7167",
            "fax_number": "276-783-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEFEL",
        "first_name": "BRIAN",
        "middle_name": "HARRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101229123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "288271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "436240",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005641551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.