Individual provider Active NPI

Brian D Evans, M.D.

  • Emergency Medicine Physician
  • Truckee, CA
National Provider Identifier
1841290798
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A67869 Issued in CA
Practice address
10121 Pine Ave
Truckee, CA 96161-4835
Phone
(530) 587-6011
Fax
(530) 582-1864
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A67869 CA Primary
General Practice Physician 208D00000X A67869 CA

Addresses

Primary practice location

10121 Pine Ave
Truckee, CA 96161-4835

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

Other practice location 1

500 Crown Point Cir Ste 110
Grass Valley, CA 95945-9561
Phone (530) 265-1450

Other identifiers 1

IdentifierTypeStateIssuer
00A678690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67869CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Medical Group Inc Emergency Medicine CurrentSince Dec 17, 1970 Accepting new patients
Sierra Nevada Memorial-Miners Hospital PastSince Dec 4, 2018 Accepting new patients

Locations

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

103 Providence Mine Rd
Ste 202
Nevada City, CA 95959
Phone (530) 470-8377

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1841290798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011",
            "fax_number": "530-582-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011",
            "fax_number": "530-582-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Crown Point Cir Ste 110",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959459561",
            "country_code": "US",
            "telephone_number": "530-265-1450",
            "fax_number": "530-271-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A67869",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A67869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A678690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.