Individual provider Active NPI

Evan Douglas O'Brien, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • West Deptford, NJ
National Provider Identifier
1740381185
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
25MA06352500 Issued in NJ
Practice address
1225 N Broad St Ste 3
West Deptford, NJ 08096-1203
Phone
(856) 845-0707
Fax
(856) 845-0082
NPI assigned
Sep 26, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA06352500 NJ Primary

Addresses

Primary practice location

1225 N Broad St Ste 3
West Deptford, NJ 08096-1203

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other identifiers 3

IdentifierTypeStateIssuer
2003795000OtherNJKEYSTONE HEALTH PLAN EAST
232764000OtherNJHORIZON
2003795000OtherNJAMERIHEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Evan.O'Brien.1@21449.direct.athenahealth.com Direct Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040128000810 NJ Practitioner - Orthopedic SurgeryPractitioner - Pain Management 6507769536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Pain Management
Education
Perelman School of Med at the University of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians
Evan D. O'Brien, M.D., P.CGroup PAC ID 9133296601, 2 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

1225 N Broad St
Suite 3
West Deptford, NJ 08096-1203
Phone (856) 845-0707

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC CurrentSince Jan 5, 2026 Accepting new patients
Premier Brain and Spine, LLC Orthopaedic Surgery of the Spine CurrentSince Jan 5, 2026 Accepting new patients
Spine Bone and Joint Specialists LLC PastSince Jul 16, 2001 Accepting new patients

Locations

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

1225 N Broad St
Ste 3
West Deptford, NJ 08096
Phone (856) 845-0707

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1740381185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N BROAD ST STE 3",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080961203",
            "telephone_number": "856-845-0707",
            "fax_number": "856-845-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "EVAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA06352500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2003795000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "232764000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2003795000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Evan.O'Brien.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 N Broad St Ste 3",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080961203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.