Individual provider Active NPI

Bradley H Evans, MD

  • Cardiovascular Disease Physician
  • Gresham, OR
National Provider Identifier
1568464261
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD17468 Issued in OR
Practice address
24900 SE Stark St Ste 109
Gresham, OR 97030-3381
Phone
(503) 413-7162
Fax
(503) 674-4140
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00043084 WA
Cardiovascular Disease Physician 207RC0000X MD17468 OR Primary

Addresses

Primary practice location

24900 SE Stark St Ste 109
Gresham, OR 97030-3381

Mailing address

24900 SE Stark St Ste 109
Gresham, OR 97030-3381
Phone (503) 413-7162

Other identifiers 2

IdentifierTypeStateIssuer
029939MedicaidOR
8129918MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051020001106 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6103724604 Reassigns benefits to 5 organizations
I20210211003389 WA Practitioner - Internal Medicine 6103724604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8258

501 N Graham St
200 Legacy Medical Group Cardiology
Portland, OR 97227-2000
Phone (503) 413-4710

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00043084WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jan 18, 2021 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 18, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 18, 2021 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Mar 15, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 15, 2021 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Mar 15, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
The Oregon Clinic PC Cardiovascular Disease Past Accepting new patients
The Oregon Clinic, PC Past Accepting new patients

Locations

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: bevans8063@direct.lhs.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1568464261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST STE 109",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303381",
            "telephone_number": "503-413-7162",
            "fax_number": "503-674-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST STE 109",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303381",
            "telephone_number": "503-413-7162",
            "fax_number": "503-674-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRADLEY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00043084",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD17468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029939",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8129918",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.