Evident Health Services. LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

20972 Issued in OK

Legal business name

EVIDENT HEALTH SERVICES. LLC

Practice address

3366 NW Expressway
Ste. 520
Oklahoma City, OK 73112-4444

Phone

(405) 713-4990

NPI assigned

Oct 7, 2008

Organization subpart

Yes

Parent organization

MADRUGADA, INC.As reported in NPPES

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

Authorized official

Name

Dr. Charles A. Bryant IV, MD

Title

President

Phone

(405) 713-4990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1760633846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "STE. 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124444",
            "telephone_number": "405-713-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "STE. 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124444",
            "telephone_number": "405-713-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENT HEALTH SERVICES. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADRUGADA, INC.",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-713-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "20972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.