Bruce D. Evans

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3415 Issued in AL

Legal business name

BRUCE D. EVANS

Practice address

1947 Florence Blvd
Florence, AL 35630-2729

Phone

(256) 766-8800

Fax

(256) 766-8936

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey L Evans

Title

Office Cordinator

Phone

(256) 766-8800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hickory Hills Dental Care Doing business as

Locations

Practitioners 1

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

• Bruce D Evans, DMD,PC

  • General Practice Dentistry
  • Florence, AL
  • NPI 1003969312
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1932467297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302729",
            "telephone_number": "256-766-8800",
            "fax_number": "256-766-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302729",
            "telephone_number": "256-766-8800",
            "fax_number": "256-766-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE CORDINATOR",
        "authorized_official_telephone_number": "256-766-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "0843054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-38965",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009947460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Hills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra L Brown, NP-C
• Nolan Tell Brown, ATC, LAT
• Presleigh Breann Brown, RN, PMHNP
• Steven Matthew Brown
• Teresa Browne-Carter, PA
• Michael L Brummitt, M.D.
• Heather White Bryant, LPC
• Robert D Bucher, LCSW
• Debbie L Buffaloe, LICSW,PIP
• Tamara Buie, PHARM.D.

• General Practice Dentistry in Florence, AL
• Providers in Florence, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.