Active NPI
Bradley D. Stiles, L. AC.
- Acupuncturist
- Columbia, MD
National Provider Identifier
1982116802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02368
- Practice address
- 6257 Deep River Cyn
Columbia, MD 21045 - Phone
- (618) 402-1038
- NPI assigned
- Nov 1, 2017
- Last updated
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02368 | MD | Primary |
Addresses
Primary practice location
6257 Deep River Cyn
Columbia, MD 21045
Mailing address
6257 Deep River Cyn
Columbia, MD 21045-2572
Phone (618) 402-1038
Other practice location 1
22 W Padonia Rd Ste B324
Timonium, MD 21093-2243
Phone (443) 521-3583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02368 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud 9 Acupuncture LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1982116802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6257 DEEP RIVER CYN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452572",
"telephone_number": "618-402-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6257 DEEP RIVER CYN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "618-402-1038"
}
],
"practiceLocations": [
{
"address_1": "22 W Padonia Rd Ste B324",
"address_purpose": "LOCATION",
"city": "Timonium",
"state": "MD",
"postal_code": "210932243",
"country_code": "US",
"telephone_number": "443-521-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILES",
"first_name": "BRADLEY",
"middle_name": "D.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.