Individual provider Active NPI

Evan Ford Draper, AUD

  • Audiologist
  • Brookline, MA
National Provider Identifier
1609480201
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A798 Issued in NH
Practice address
1842 Beacon St Ste 403
Brookline, MA 02445-1930
Phone
(617) 232-1299
Fax
(617) 232-7959
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A798 NH Primary

Addresses

Primary practice location

1842 Beacon St Ste 403
Brookline, MA 02445-1930

Mailing address

1842 Beacon St Ste 403
Brookline, MA 02445-1930
Phone (617) 232-1299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819002077 MA Practitioner - Qualified Audiologist 2668884685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4854MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookline Hearing Services Inc CurrentSince Aug 22, 2022 Accepting new patients
Bach and Boone LLC Current Accepting new patients
Hearing Center of New Hampshire, LLC PastSince Mar 1, 2024 Accepting new patients

Locations

1842 Beacon St
Ste 842
Brookline, MA 02445
Phone (617) 232-1299

1842 Beacon St
Ste 403
Brookline, MA 02445
Phone (617) 232-1299

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1609480201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 403",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-232-1299",
            "fax_number": "617-232-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 403",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-232-1299",
            "fax_number": "617-232-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "EVAN",
        "middle_name": "FORD",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-05-17",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.