MEDICARE: STEPHEN E SADLER C.PED

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	224L00000X	Pedorthist

General Provider Information

NPI Number	:	1902755895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN E SADLER C.PED

Provider Business Mailing Address
First Line	:	16614 MALAGA HILLS DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5533
Country	:	US
Telephone Number	:	512-413-8664
Fax Number	:

Provider Business Practice Location Address
First Line	:	16614 MALAGA HILLS DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5533
Country	:	US
Telephone Number	:	512-413-8664
Fax Number	:

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

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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