MEDICARE: ABC CHIROPRACTIC PA

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	111N00000X	Chiropractor	6119DC	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5208520	OTHER		AETNA
2	8K8200	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1427034362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	PO BOX 3948
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77805-3948
Country	:	US
Telephone Number	:	979-775-8451
Fax Number	:	979-823-4991

Provider Business Practice Location Address
First Line	:	322 NORTH MAIN ST
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77803
Country	:	US
Telephone Number	:	979-775-8451
Fax Number	:	979-823-4991

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RICHARD JAMES STEPHENSON
Credential	:	DC
Telephone Number	:	979-775-8451

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1245232149 — HOSPICE BRAZOS VALLEY, INC.
Practice Location Address:

502 W 26TH ST
BRYAN, TX
77803-2426

Practice Phone: 979-821-2266
Practice Fax: 979-821-2763

1831155647 — CITY OF BRYAN
Practice Location Address:

300 SOUTH TEXAS AVE
BRYAN, TX
77803-3226

Practice Phone: 979-209-5080
Practice Fax: 979-209-5095

1770530636 — FRANCINE BALDWIN DUANE LCSW
Practice Location Address:

201 N MAIN ST
BRYAN, TX
77803-3237

Practice Phone: 979-324-5424
Practice Fax:

1760425425 — SARAH WEI OU-YOUNG MA, LPC
Practice Location Address:

400 N WASHINGTON AVE , SUITE 1
BRYAN, TX
77803-5310

Practice Phone: 979-220-0150
Practice Fax: 936-399-9985

1154357747 — BRAZOS VALLEY PSYCHOLOGICAL SERVICES PA
Practice Location Address:

704B E 29TH ST
BRYAN, TX
77803-4706

Practice Phone: 979-574-8801
Practice Fax: 979-775-9079

1881621225 — MHMRA OF BRAZOS VALLEY
Practice Location Address:

804 S TEXAS AVE
BRYAN, TX
77803-3946

Practice Phone: 979-822-6467
Practice Fax: 979-821-9448

Directions to “ABC CHIROPRACTIC PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.