M. BRADLEY EVANS (NPI# 1407897952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407897952 |
| Entity Type | Individual |
| Full Name | M. BRADLEY EVANS |
| Other Name | MICHAEL BRADLEY EVANS |
| Credential | MD PA |
| Practice Address |
324 W Main St Suite 100 Lewisville TX 75057-3866 |
| Practice Telephone | 9724207212 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M3218 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAL LICENSE | M3218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295077022 | M. Blake Evans | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9023 | 2013-03-19 |
| Street Address |
324 W MAIN ST SUITE 100 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629325352 | Sean M Callahan Md Pllc | Otolaryngology | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2012-08-13 |
| 1467740837 | Jaime Lauren Lopez | Audiologist-Hearing Aid Fitter | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2011-07-19 |
| 1023282340 | Julie Lynn Corder | Audiologist-Hearing Aid Fitter | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2008-04-17 |
| 1962676288 | Michelle Renee Millward | Audiologist-Hearing Aid Fitter | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2008-04-17 |
| 1194999789 | Oto-hns | Specialist | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2008-04-15 |
| 1801819172 | M Bradley Evans Md Pa | Otolaryngology | 324 W Main St, 100, Lewisville, TX 75057-3866 | 2006-07-26 |
| 1992747935 | Dennis E Newton IIi | Dermatology | 324 W Main St, Suite 200, Lewisville, TX 75057 | 2006-06-12 |
| 1477594042 | Carolyn B Lyde | Dermatology | 324 W Main St, Suite 330, Lewisville, TX 75057 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439962 | Thomas Cunning Bramhall | Otolaryngology | 324 West Main St, Suite 100, Lewisville, TX 75057-3640 | 2005-07-07 |
| 1629325352 | Sean M Callahan Md Pllc | Otolaryngology | 324 W Main St, Suite 100, Lewisville, TX 75057-3866 | 2012-08-13 |
| 1801819172 | M Bradley Evans Md Pa | Otolaryngology | 324 W Main St, 100, Lewisville, TX 75057-3866 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919308 | Cgn Epent Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 160, El Paso, TX 79925-3315 | 2020-10-09 |
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1700401072 | Givens Facial Plastic Surgery Pllc | Otolaryngology | 3939 Bee Caves Rd Ste B3, West Lake Hills, TX 78746-6429 | 2020-06-12 |
| 1649811332 | Jorge J Arango Md Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 104, El Paso, TX 79925-3315 | 2019-10-03 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1053883405 | Cosmedic Wellness Centers, Inc | Otolaryngology | 510 E. Hwy 377, Granbury, TX 76048-2556 | 2018-12-26 |
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1467968867 | Metroplex Ent & Allergy Pllc | Otolaryngology | 2021 N Macarthur Blvd Ste 225, Irving, TX 75061-2219 | 2017-12-20 |
| 1922522804 | East Texas Sinus and Dizziness Center, Pllc | Otolaryngology | 901 Pegues Pl, Longview, TX 75601-4027 | 2017-08-01 |
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.