Active NPI
William Haman Evans Jr., D.O.
- Pulmonary Disease Physician
- Bradenton, FL
National Provider Identifier
1477998680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OS12095
- Practice address
- 2401 Manatee Ave W
Bradenton, FL 34205-4933 - Phone
- (941) 744-1336
- Fax
- (941) 746-3846
- NPI assigned
- May 1, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS12095 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS12095 | FL | |
| Pulmonary Disease Physician | 207RP1001X | OS12095 | FL | Primary |
Addresses
Primary practice location
2401 Manatee Ave W
Bradenton, FL 34205-4933
Mailing address
2401 Manatee Ave W
Bradenton, FL 34205-4933
Phone (941) 744-1336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170706002119 | FL | Practitioner - Pulmonary Disease | 4789804717 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Matrix Pulmonary, P.a.
Practice addresses (Care Compare)
2401 Manatee Ave W
Bradenton, FL 34205-4933
Phone (941) 744-1336
Hospital & facility affiliations
- Manatee Memorial Hospital
- HCA Florida Blake Hospital
- Sarasota Memorial Hospital
- Lakewood Ranch Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.22
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| MCR Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| Matrix Pulmonary, P.a. | Multi-Specialty | Current | Accepting new patients |
Locations
2401 Manatee Ave W
Bradenton, FL 34205
Phone (941) 744-1336
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Networks
- Freedom Health HMO Network
Interoperability endpoints
- williamevans@mat.ssdirect.aprima.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
FL, Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
Hospital
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1477998680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342054933",
"telephone_number": "941-744-1336",
"fax_number": "941-746-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342054933",
"telephone_number": "941-744-1336",
"fax_number": "941-746-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "WILLIAM",
"middle_name": "HAMAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS12095",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS12095",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "OS12095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.