STEVENS PARK CLINIC MEDICAL GROUP
NPI 1326240839
Family Medicine in Dallas, TX
About Stevens Park Clinic Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEVENS PARK CLINIC MEDICAL GROUP (NPI 1326240839) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Kevin M Bryant, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stevens Park Clinic Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stevens Park Clinic Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0479352
Stevens Park Clinic · Dallas, TXFrequently 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 Stevens Park Clinic Medical Group's NPI number?
The NPI number for Stevens Park Clinic Medical Group is 1326240839. It was assigned to this organization in the NPPES registry on June 5, 2007.
Where is Stevens Park Clinic Medical Group located?
Stevens Park Clinic Medical Group is located at 2100 W Colorado Blvd, Dallas, TX 75211. The listed phone number is (214) 943-4631.
What is Stevens Park Clinic Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stevens Park Clinic Medical Group enrolled in Medicare?
Yes. Stevens Park Clinic Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stevens Park Clinic Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stevens Park Clinic Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stevens Park Clinic Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0479352) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Stevens Park Clinic Medical Group accept?
Health plans from Molina Healthcare list Stevens Park Clinic Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stevens Park Clinic Medical Group was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Stevens Park Clinic Medical Group · NPI 1326240839
Family Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since June 5, 2007.
## Identity
- **NPI:** 1326240839 (Entity type: Organization)
- **Enumerated:** June 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Bryant, OWNER
## Practice location
- **Address:** 2100 W COLORADO BLVD, Dallas, TX 75211-1900
- **Phone:** (214) 943-4631 · **Fax:** (214) 946-5334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2015
- **Other identifiers:** Medicare UPIN G44258 (TX); Other 00500R (TX); Medicaid 144698103 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326240839) · Data from the CMS NPPES public registry.