Active NPI
Evan Douglas O'Brien, M.D.
- Orthopaedic Surgery of the Spine Physician
- West Deptford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 25MA06352500
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003795000 | Other | NJ | KEYSTONE HEALTH PLAN EAST |
| 232764000 | Other | NJ | HORIZON |
| 2003795000 | Other | NJ | AMERIHEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Brain and Spine LLC | Current | Accepting new patients | |
| Premier Brain and Spine, LLC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Spine Bone and Joint Specialists LLC | Past | 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.
-
dba Redefine Healthcare
- Neurological Surgery Physician
- Union, NJ
- NPI 1922771377
Orthopaedic Surgery of the Spine
-
- Surgical Physician Assistant
- West Deptford, NJ
- NPI 1619126539
-
- Orthopaedic Surgery Physician
- Woodbury, NJ
- NPI 1659405827
-
dba Redefine Healthcare
- Durable Medical Equipment & Medical Supplies
- Shrewsbury, NJ
- NPI 1427944156
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.