Individual provider Active NPI

Brian Thomas Evans, R.D.M.S.

  • Diagnostic Ultrasound Physician
  • Tulare, CA
National Provider Identifier
1154883023
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
170321 Issued in CA
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

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
170321OtherADRMS

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

LicenseStateTypeSpecialty
170321CAMDDiagnostic 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.

Verify at the official NPI Registry.