Paden Bradley Eveland

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2000026782 Issued in IL

Practice address

1 Kellogg Circle Emporia State University
Emporia, KS 66801

Phone

(620) 341-1200

NPI assigned

Jan 13, 2017

Last updated

Jan 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1669918637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KELLOGG CIRCLE EMPORIA STATE UNIVERSITY",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-341-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KELLOGG CIRCLE EMPORIA STATE UNIVERSITY",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-341-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELAND",
        "first_name": "PADEN",
        "middle_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IL",
            "license": "2000026782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Esch
• Kimberly Escorcia
• Giniva Espinoza
• Geneeka E Estrada, P.T.
• Esu Student Health Services
• Arthur Charles Evensen, DPM
• Ashley Ewy
• Tegan Jae Fanders, T-LMLP
• Jade Fankhauser
• Christina Marie Farr, DNP CNM IBCLC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.