Bradley B Evans Sr., PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33721 Issued in TX

Practice address

3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374

Phone

(254) 252-3748

Fax

(254) 549-0086

NPI assigned

Feb 28, 2006

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stephen T. Belk Psy.D. PLLC

  • Psychologist
  • Burnet, TX
  • NPI 1598280497
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1932176872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 MARSHALL CREEK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248104",
            "telephone_number": "719-337-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 407",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423374",
            "telephone_number": "254-252-3748",
            "fax_number": "254-549-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRADLEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3235",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamia Stinson Esquerra, LPC
• Yaquelin Delcarmen Estrada, RBT
• Shantale Etheridge
• Kimberly Euler, PT, DPT
• Angela Rochelle Evans, RBT
• John S Evans Jr., LCSW, LMFT
• Heather Michele Evenson, RBT
• Franklin Ewoukap, PMHNP-BC
• Eyemart Express LLC
• Eyemart Express, LTD.

• Psychologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.