Individual ProviderRyan StephensRadiologyAllopathic & Osteopathic PhysiciansPractice Address3949 Browning Pl, Raleigh, NC 27609-6536(919) 787-7411PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Stephens is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:02 PM.Profile DetailsProvider ID1689086878Provider TypeIndividualFull NameStephens, RyanCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/22/2014Last Updated1/23/2020Contact InformationPractice LocationPractice Address3949 Browning Pl, Raleigh, NC 27609-6536Phone(919) 787-7411FaxUnlisted FaxMailing LocationMailing Address3949 Browning Pl, Raleigh, NC 27609-6536Phone(919) 787-7411Fax(919) 789-4461Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2020-00115North CarolinaCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD81231Maryland