Active NPI
Brian Thomas Evans, R.D.M.S.
- Diagnostic Ultrasound Physician
- Tulare, CA
National Provider Identifier
1154883023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 170321
- Practice address
- 1070 N Cherry St
Tulare, CA 93274 - Phone
- (559) 901-3488
- Fax
- (559) 384-3175
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 170321 | CA | Primary |
Addresses
Primary practice location
1070 N Cherry St
Tulare, CA 93274
Mailing address
1163 N Greenwood St
Tulare, CA 93274-8025
Phone (559) 901-3488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170321 | Other | ADRMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170321 | CA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1154883023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 N GREENWOOD ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932748025",
"telephone_number": "559-901-3488",
"fax_number": "559-384-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "93274",
"telephone_number": "559-901-3488",
"fax_number": "559-384-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "R.D.M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "170321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADRMS",
"identifier": "170321",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.