STEPHEN C. BRAWLEY (NPI# 1275601890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275601890 |
| Entity Type | Individual |
| Full Name | STEPHEN C. BRAWLEY |
| Credential | MD |
| Practice Address |
3640 High St Ste 3b Portsmouth VA 23707-3213 |
| Mailing Address |
Po Box 936 Evms Medical Group Norfolk VA 23501-0936 |
| Practice Telephone | 7573976344 |
| Practice Fax Number | 7576061185 |
| Mailing Telephone | 7573976344 |
| Mailing Fax Number | 7576061185 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101231587 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CIGNA | 1275601890 | 01 |
| VA | COVENTRY NETWORK | 1275601890 | 01 |
| VA | AETNA | 1275601890 | 01 |
| VA | 1275601890 | 05 | |
| NC | 1275601890 | 05 | |
| VA | VIRGINIA PREMIER HEALTH PLAN | 1275601890 | 01 |
| VA | VIRGINIA HEALTH NETWORK | 1275601890 | 01 |
| VA | OPTIMA HEALTH | 1275601890 | 01 |
| VA | ANTHEM BC/BS | 1275601890 | 01 |
| VA | USA MANAGED CARE | 1275601890 | 01 |
| VA | CORVEL | 1275601890 | 01 |
| VA | MULTIPLAN | 1275601890 | 01 |
| VA | UNITED HEALTHCARE | 1275601890 | 01 |
| VA | TRICARE/CHAMPUS | 1275601890 | 01 |
| Street Address |
3640 HIGH ST STE 3B |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096559 | Margaret A Baumgarten | Family Medicine | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2006-01-05 |
| 1134737018 | Vivian Huong Thien Vu | Family Medicine | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2020-07-16 |
| 1376162016 | Elizabeth J Willoughby | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2020-04-13 |
| 1023645124 | Jaime Luis Loyola IIi | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2020-03-26 |
| 1942762539 | Christian Markham | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2019-04-02 |
| 1447747159 | Sharese Delois Jefferson | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2018-04-18 |
| 1265895544 | Karo Gary Ohanian | Family Medicine | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2016-04-03 |
| 1952720690 | Pamela Cruz Scott | Family Medicine | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2014-04-09 |
| 1831360122 | Jeffrey Graham Kail | Social Worker | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2008-03-14 |
| 1407910433 | Brian R. Budenholzer | Family Medicine | 3640 High St Ste 3b, Portsmouth, VA 23707-3213 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968539 | Continental Medical Services Pllc | Family Medicine | 2011 Queen St Ste L100, Portsmouth, VA 23704-3027 | 2017-08-18 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1144640202 | Marjorie Eden Beams | Family Medicine | 100 Campus Dr Ste 100, Portsmouth, NH 03801-5892 | 2014-04-16 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1891134490 | Anupriya Grover | Family Medicine | Appledodre Family Medicine, 25 New Hampshire Avenue, Portsmouth, NH 03801-0380 | 2013-06-18 |
| 1528296902 | Ruth Ellen James | Family Medicine | 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801 | 2009-06-24 |
| 1396915658 | David A. Johnson Do, Inc | Family Medicine | 161 Chase Rd, Portsmouth, RI 02871-3243 | 2008-03-03 |
| 1811190655 | Gregory C. Jones, Psc | Family Medicine | 1745 27th Street, Wound Healing Center, Portsmouth, OH 45662 | 2007-06-08 |
| 1407868797 | Melinda Faye Somoza | Family Medicine | 840 Gallia St, Portsmouth, OH 45662-4232 | 2006-08-13 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.