William Arnold Bevan Jr., M.D.
Individual provider Active NPI Emergency Medicine Physician · Vail, CO
NPI 1003928862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003928862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 17389 (CO)
- Practice address
- 181 W Meadow Dr
Vail, CO 81657-5242 - Phone
- (970) 479-7225
- Fax
- (970) 479-7216
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VVMC Diversified Services | Past | Accepting new patients | |
| Vail Clinic, Inc. | Past | Accepting new patients | |
| Breckenridge Medical Clinic, LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17389 | CO | Yes |
Addresses
Primary practice location
181 W Meadow Dr
Vail, CO 81657-5242
Mailing address
27 Main St # C301
Edwards, CO 81632-8109
Phone (970) 569-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1173897 | Medicaid | CO |
Other providers in Vail, CO
- Erin Bembridge
- Kelsey Lee Benjamin
- Julia Eve Berg
- Haley Elizabeth Berry
- Bert S Furmansky MD PC
- Avanti Lal Bhatia
- Chantal Binder
- Theresa A. Bjerklie
- Devon Blitz
- Sarah Boak
All providers in Vail, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.