Individual provider Active NPI

Bradley D. Stiles, L. AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1982116802
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02368 Issued in MD
Practice address
6257 Deep River Cyn
Columbia, MD 21045
Phone
(618) 402-1038
NPI assigned
Nov 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
U02368MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.