Individual
BRYON J. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD, SUITE 112, FORT WAYNE, IN 46804-4159
(260) 969-7121
(260) 436-4292
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01040106A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998112
—
OH
05
—
100082280
—
IN
05
—
103410227
—
MI
01
—
P00919721
RAILROAD MEDICARE
IN
Enumeration date
08/02/2005
Last updated
09/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us