Organization Active NPI

Bryan S Evanczyk MD Inc PC

Doing business as Womens Health @ Fox Care

  • Obstetrics & Gynecology Physician
  • Oneonta, NY
National Provider Identifier
1265426423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1620101 Issued in NY
Legal business name
BRYAN S EVANCZYK MD INC PC
Doing business as
Womens Health @ Fox Care
Practice address
1 Fox Care Dr
Ste 303
Oneonta, NY 13820-2086
Phone
(607) 432-3711
Fax
(607) 432-6402
NPI assigned
Sep 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bryan S Evanczyk, MDNPI 1528151461
Title
President Medical Director
Phone
(607) 432-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1620101 NY Primary

Addresses

Primary practice location

1 Fox Care Dr
Ste 303
Oneonta, NY 13820-2086

Mailing address

1 Fox Care Dr
Ste 303
Oneonta, NY 13820-2086
Phone (607) 432-3711

Other identifiers 1

IdentifierTypeStateIssuer
00899665MedicaidNY

Other names 1

  • Womens Health @ Fox Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265426423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOX CARE DR",
            "address_2": "STE 303",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202086",
            "telephone_number": "607-432-3711",
            "fax_number": "607-432-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOX CARE DR",
            "address_2": "STE 303",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202086",
            "telephone_number": "607-432-3711",
            "fax_number": "607-432-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN S EVANCZYK MD INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANCZYK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT  MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "607-432-3711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1620101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00899665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Health @ Fox Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.