Individual
CHARLES BRYCE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE., ML 2016, CINCINNATI CHILDREN'S HOSPITAL, CINCINNATI, OH 45229-3039
(513) 636-4726
(513) 636-2808
Mailing address
3333 BURNET AVE., ML 2016, CINCINNATI CHILDREN'S HOSPITAL, CINCINNATI, OH 45229-3039
(513) 636-4726
(513) 636-2808
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01095816A
IN
207T00000X
Neurological Surgery Physician
Primary
35.091452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642009
ANTHEM - NNIKY
KY
01
—
000026447V
HUMANA - NNIKY
KY
01
—
106186
SIHO - NNIKY
KY
05
—
200963990
—
IN
01
—
3730541000
PASSPORT ADVANTAGE - NNIKY
KY
01
—
50025169
PASSPORT - NNIKY
KY
05
—
7100077020
—
KY
01
—
9877110
CIGNA - NNIKY
KY
Enumeration date
01/04/2007
Last updated
06/10/2025
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