NPIMap

Organization Active NPI

Colby C Evans PA

Doing business as Evans Dermatology Partners

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1972693745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L6879 Issued in TX
Legal business name
COLBY C EVANS PA
Doing business as
Evans Dermatology Partners
Practice address
9701 Brodie Lane
Suite a-106
Austin, TX 78748
Phone
(512) 280-3939
Fax
(512) 280-3938
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Colby C Evans, M.D.NPI 1588766810
Title
Owner
Phone
(512) 280-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X L6879 TX Primary

Addresses

Primary practice location

9701 Brodie Lane
Suite a-106
Austin, TX 78748

Mailing address

9901 Brodie LN
Suite 160
Austin, TX 78748-5803
Phone (512) 280-3939

Other names 1

  • Evans Dermatology Partners Doing business as

National Provider Directory

National Provider Directory

Locations

9701 Brodie Ln
Ste A106
Austin, TX 78748
Phone (512) 280-3939

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972693745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 BRODIE LN",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485803",
            "telephone_number": "512-280-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LANE",
            "address_2": "SUITE A-106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-280-3939",
            "fax_number": "512-280-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY C EVANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-280-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L6879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Dermatology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.