Individual provider Active NPI

Alicia Michelle Stephenson, D.C.

  • Chiropractor
  • Bryan, TX
National Provider Identifier
1992070759
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11986 Issued in TX
Practice address
1313 Briarcrest Dr
Bryan, TX 77802-5241
Phone
(979) 776-2828
Fax
(979) 776-2829
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11986 TX Primary

Addresses

Primary practice location

1313 Briarcrest Dr
Bryan, TX 77802-5241

Mailing address

1313 Briarcrest Dr
Bryan, TX 77802-5241
Phone (979) 776-2828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410000687 TX Practitioner - Chiropractic 7719148006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oaks Chiropractic, PLLCGroup PAC ID 7517332307, 2 clinicians

Practice addresses (Care Compare)

1313 Briarcrest Dr
Bryan, TX 77802-5241
Phone (979) 776-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11986TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Oaks Medical Center PLLC CurrentSince Jan 22, 2026 Accepting new patients

Locations

1313 Briarcrest Dr
Bryan, TX 77802
Phone (979) 776-2828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1992070759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025241",
            "telephone_number": "979-776-2828",
            "fax_number": "979-776-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025241",
            "telephone_number": "979-776-2828",
            "fax_number": "979-776-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ALICIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.