DR. STEPHEN GRAHAM II MD, MS
NPI 1184562712
Student in an Organized Health Care Education/Training Program in Port St Lucie, FL

Active since March 24, 2026PECOS Enrolled
1881 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 468-4554 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Stephen Graham Ii Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN GRAHAM II MD, MS (NPI 1184562712) is an individual student in an organized health care education/training program in Port St Lucie, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184562712
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. STEPHEN GRAHAM IICredential: MD, MS
Location Address1881 SE TIFFANY AVEPort St Lucie, FL 34952-7567
Mailing Address1881 Se Tiffany AvePort St Lucie, FL 34952-7567 · (772) 468-4554
Sole ProprietorYes
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
NPI 1184562712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1881 SE TIFFANY AVE, Port St Lucie, FL 34952

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephen Graham Ii Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1881 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Nurse Practitioner
1881 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
Student in an Organized Health Care Education/Training Program
1881 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
Family Medicine
1881 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Student in an Organized Health Care Education/Training Program
1881 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Student in an Organized Health Care Education/Training Program
1881 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Family Medicine
1881 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Graham's NPI number?

The NPI number for Stephen Graham is 1184562712. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Stephen Graham located?

Stephen Graham practices at 1881 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 468-4554.

What is Stephen Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Graham enrolled in Medicare?

Yes. Stephen Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Graham was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.