Individual provider Active NPI

Brian Randall Evans, MD

  • Urology Physician
  • Florence, SC
National Provider Identifier
1457365900
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
33525 Issued in SC
Practice address
309 W Pine St
Florence, SC 29501-4726
Phone
(843) 472-5255
Fax
(843) 472-5179
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME96084 FL
Urology Physician 208800000X 33525 SC Primary

Addresses

Primary practice location

309 W Pine St
Florence, SC 29501-4726

Mailing address

309 W Pine St
Florence, SC 29501-4726
Phone (843) 472-5255

Other identifiers 2

IdentifierTypeStateIssuer
P01580077OtherSCRAILROAD MEDICARE
Q014AMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20110630000164 SC Practitioner - Urology 0547265373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Toledo College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 W Pine St
Florence, SC 29501-4726
Phone (843) 669-5162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.85 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
92.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33525SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology of the Pee Dee Urology CurrentSince Sep 1, 2015 Accepting new patients

Locations

309 W Pine St
Florence, SC 29501
Phone (843) 662-4524

Interoperability endpoints

  • Direct secure messaging: bevans277470@direct.musc.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1457365900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014726",
            "telephone_number": "843-472-5255",
            "fax_number": "843-472-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014726",
            "telephone_number": "843-472-5255",
            "fax_number": "843-472-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRIAN",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME96084",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "33525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01580077",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014A",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.