MEDICARE: VPA PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208D00000X	General Practice Physician
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366768160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPA PC

Provider Business Mailing Address
First Line	:	PO BOX 40412
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1255
Country	:	US
Telephone Number	:	248-266-4200
Fax Number	:	248-824-1477

Provider Business Practice Location Address
First Line	:	5724 GREEN ST STE 252
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1471
Country	:	US
Telephone Number	:	574-247-1911
Fax Number	:	574-247-1912

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY STEVENS
Credential	:	DO
Telephone Number	:	248-824-6623

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	04/17/2026

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Directions to “VPA PC ” Practice Location

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