# BRENT STEPHENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326278110
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME119690 | FL | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | ME119690 | FL | — |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 09/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 012130500 | — | FL |
| 01 | — | 14V76 | BCBS | FL |
| 01 | — | HW451X | MEDICARE | FL |
| 01 | — | HW451Y | HFPSI MEDICARE | FL |