DR. BRUCE DWIGHT STEVENS (NPI# 1669503421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669503421 |
| Entity Type | Individual |
| Full Name | DR. BRUCE DWIGHT STEVENS |
| Credential | D.C. |
| Practice Address |
2453 Towne Lake Pkwy Woodstock GA 30189-5525 |
| Mailing Address |
313 Quiet Hill Ln Woodstock GA 30189-5535 |
| Practice Telephone | 7705922505 |
| Practice Fax Number | 7705922433 |
| Mailing Telephone | 7705922505 |
| Mailing Fax Number | 7705922433 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR005186 | GA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 23697 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| 1003870379 | Bruce Robert Stevens | Psychiatry & Neurology | 4470 Cox Rd Ste 170, Glen Allen, VA 23060 | 2006-04-13 |
| 1518939453 | Bruce L. Stevens | Radiology | 180 Kent Dr, E Greenwich, RI 02818-2318 | 2006-02-04 |
| 1518425305 | Bruce B. Stevens | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2019-03-11 |
| 1255895819 | Bruce R. Stevens | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
| 1114220613 | Bruce Jamie Stevens | Nurse Practitioner | 215 Broad St, Apt 2w, Milford, CT 06460-4760 | 2010-12-06 |
| Street Address |
2453 TOWNE LAKE PKWY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602784 | Stevens Family Chiropractic, PC | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2020-02-27 |
| 1982249538 | Valeria Delagarza | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2019-11-07 |
| 1730686734 | Zoe Pogrelis | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2018-04-07 |
| 1538670195 | Innate Universe LLC | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2017-10-22 |
| 1346785821 | Sullivan Chiropractic LLC | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2016-12-20 |
| 1205229143 | Dr. Heidi Arabia LLC | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2015-03-17 |
| 1154728095 | Steven J Isaacs Dc Pa | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2014-11-20 |
| 1043639883 | Pogrelis Chiropractic LLC | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2014-04-09 |
| 1568720423 | Heidi Ann Arabia | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362107 | Nicholas Reed Maassen | Chiropractor | 2990 Eagle Dr Ste 102, Woodstock, GA 30189-5575 | 2019-05-22 |
| 1063908218 | Evolve Chiropractic Woodstock LLC | Chiropractor | 2440 Lake Shore Drive, Woodstock, IL 60098-2980 | 2018-07-10 |
| 1578070140 | Aaron Joseph Ozimek | Chiropractor | 220 Heritage Walk Ste 106, Woodstock, GA 30188-6458 | 2018-01-04 |
| 1750736526 | Kaitlyn Beth Vanstrien | Chiropractor | 8811 Highway 92 Ste 114, Woodstock, GA 30189-6509 | 2016-04-29 |
| 1407226426 | Patricia Di Benedetto | Chiropractor | 1607 Skyridge Dr, Woodstock, GA 30188-3965 | 2015-10-02 |
| 1396115887 | Andrew Cort | Chiropractor | 9 Rock City Rd, Woodstock, NY 12498-1219 | 2015-09-28 |
| 1023407400 | Norman Clarence Colby Jr. | Chiropractor | 1501 Regency Way, Woodstock, GA 30189-5487 | 2015-01-22 |
| 1578974390 | Optimum Health Rehab of Woodstock LLC | Chiropractor | 2360 Towne Lake Pkwy Ste 104, Woodstock, GA 30189-5576 | 2014-05-14 |
| 1649699430 | Red Bridge LLC | Chiropractor | 20032 Highway 11, Unit 17, Woodstock, AL 35188-3733 | 2014-04-09 |
| 1134544844 | James David Gaudreau | Chiropractor | 160 Route 171, Woodstock, CT 06281-3123 | 2014-03-04 |
| Find all providers in WOODSTOCK | ||||
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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.