M. Bradley Evans, MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M3218 Issued in TX

Practice address

324 W Main St
Suite 100
Lewisville, TX 75057-3866

Phone

(972) 420-7212

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Bradley Evans Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Texas Tech University Health Science Center School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
• The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The ENT & Allergy Centers of Texas, PLLC

  • Otolaryngology Physician
  • McKinney, TX
  • NPI 1144470873
  Medicare reassignment Care Compare group NPD
• Richard D Thrasher III MD PA

  • Otolaryngology Physician
  • McKinney, TX
  • NPI 1720273287
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Flower Mound Hospital Partners, LLC

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  Care Compare affiliation
• Thhbp Management Company LLC

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1407897952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-420-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "M.",
        "middle_name": "BRADLEY",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M3218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M3218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "EVANS",
            "middle_name": "BRADLEY",
            "credential": "MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Estess Family Chiropractic, PLLC
• Rebecca Etta, ACPN-BC
• Chung NA Eum
• Eunice Hair Macarize LLC
• Bethany Evans, PSY.D.
• Orna Even
• Everspring Medical Center
• Eye Care 4 Yeu PLLC
• Eyemasters of Texas LTD
• Ezy Equipment Solution LLC

• Otolaryngology Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.