Active NPI 1780740423 Individual Practitioner Male Practitioner

Dr. Stacy Kenton Edwards , DC

Chiropractor • Berea, KY

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Edwards, DC is a registered healthcare professional specializing in Chiropractor in Berea, KY. Practice services are available at 130 N. BROADWAY, SUITE #1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 N. Broadway, Suite #1

Berea, KY 40403

Telephone 8599869477

Fax 8599857876

Associated Practice Facility / Clinic

🏢 Stacy K. Edwards, Psc Facility NPI 1336381367

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Berea, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.3 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Berea, KY (1079 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License KY 4066

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

000000069105 (KY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2009

Registered at 130 N. BROADWAY, SUITE #1, BEREA, KY 40403 (Tel: 8599869477)

📍

Updated Business Mailing Address March 18, 2009

Registered at PO BOX 957, 130 N. BROADWAY SUITE #1, BEREA, KY 40403 (Tel: 8599869477)

👤

Provider Name / Credentials Updated March 18, 2009

Recorded as STACY EDWARDS, D.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2009

Chiropractor (License #4066 in KY)

🟢

Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1780740423

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 28, 2006

Last Update: March 18, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 957, 130 N. Broadway Suite #1

Berea, KY 40403

Phone: 8599869477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.