MEDICARE: DR. LARRY L STEPHENSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	0101033527	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012295	OTHER	VA	ANTHEM
2	0500155	OTHER	VA	UNITED HEALTH CARE
3	321142	OTHER	VA	OPTIMUM CHOICE
4	C1620001	OTHER	VA	CAREFIRST/BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386618114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY L STEPHENSON MD

Provider Business Mailing Address
First Line	:	440 HOSPITAL DR
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-3026
Country	:	US
Telephone Number	:	540-347-1600
Fax Number	:	540-349-0902

Provider Business Practice Location Address
First Line	:	440 HOSPITAL DR
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-3026
Country	:	US
Telephone Number	:	540-347-1600
Fax Number	:	540-349-0902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	10/13/2025

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