Organization Active NPI

Evident Health Services, LLC

  • Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1881641355
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20972 Issued in OK
Legal business name
EVIDENT HEALTH SERVICES, LLC
Practice address
3366 NW Expressway
Suite 520
Oklahoma City, OK 73112-4444
Phone
(405) 713-4990
Fax
(405) 713-4992
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Charles Austin Bryant IV, M.D.
Title
President
Phone
(405) 713-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20972 OK Primary

Addresses

Primary practice location

3366 NW Expressway
Suite 520
Oklahoma City, OK 73112-4444

Mailing address

3366 NW Expressway
Suite 520
Oklahoma City, OK 73112-4444
Phone (405) 713-4990

Other names 1

  • EvidentCare Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3366 NW Expressway
Ste 520
Oklahoma City, OK 73112
Phone (405) 713-4990

3555 NW 58th St
Ste 802
Oklahoma City, OK 73112
Phone (405) 601-1606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1881641355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124444",
            "telephone_number": "405-713-4990",
            "fax_number": "405-713-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 520",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124444",
            "telephone_number": "405-713-4990",
            "fax_number": "405-713-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENT HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AUSTIN",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "20972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EvidentCare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.