DR. BRUCE G EVANS (NPI# 1942292446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942292446 |
Entity Type | Individual |
Full Name | DR. BRUCE G EVANS |
Credential | M.D. |
Practice Address |
1160 East 3900 South Suite 5000 Salt Lake City UT 84124-1275 |
Practice Telephone | 8012628486 |
Practice Fax Number | 8012848699 |
Mailing Telephone | 8012628486 |
Mailing Fax Number | 8012848699 |
Enumeration Date | 2005-08-19 |
Last Update Date | 2011-05-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
1684391205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 870682101009 | 05 | |
UT | D0774 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003969312 | Bruce D Evans | Dentist | 1947 Florence Blvd, Florence, AL 35630-2729 | 2007-01-19 |
1861560963 | Bruce Sanford Evans | Counselor | 11606 Gordon School Rd, Richmond, VA 23236-2513 | 2006-11-30 |
1760941793 | Bruce Christopher Evans | Counselor | 729 Prospect St Ste 200, Port Orchard, WA 98366-5330 | 2019-03-19 |
1083775886 | Bruce A Evans | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-12-13 |
1659480903 | Bruce W Evans | Emergency Medicine | 1835 Franklin St, Denver, CO 80218-1126 | 2006-08-30 |
1972526879 | Bruce W Evans | Anesthesiology | 4550 Investment Dr, Ste 100, Troy, MI 48098 | 2006-07-25 |
1811973837 | Bruce A. Evans | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-21 |
Street Address |
1160 EAST 3900 SOUTH SUITE 5000 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-1275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528491735 | Fielding Petersen Dunn | Physician Assistant | 1160 East 3900 South, Ste 4100, Salt Lake City, UT 84124-1246 | 2013-08-12 |
1174617336 | Steven Charles Simper | Surgery | 1160 East 3900 South, Suite 4100, Salt Lake City, UT 84124 | 2006-10-03 |
1194730838 | Sherman C Smith Md PC | Surgery | 1160 East 3900 South, 4100, Salt Lake City, UT 84124 | 2006-07-30 |
1134147226 | John B Stanchfield | Internal Medicine | 1160 East 3900 South, Suite 1200, Salt Lake City, UT 84124 | 2006-07-17 |
1134151558 | Stephen S Aslami | Internal Medicine | 1160 East 3900 South, Suite 1200, Salt Lake City, UT 84124 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740676394 | Matthew C. Christie | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2015-04-10 |
1437579893 | Steven Donohoe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-04-23 |
1548410608 | G Lynn Rasmussen Md PC | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2008-09-25 |
1366624991 | Nathan G Momberger Md PC | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2007-12-05 |
1568456242 | Kim C Bertin | Orthopaedic Surgery | 24 S 1100 E, Ste 101, Salt Lake City, UT 84102-1500 | 2005-09-08 |
1073505582 | Michael H Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083953558 | Russell L Nelson, M.d. PC | Orthopaedic Surgery | 5323 S Woodrow St Ste 200, Murray, UT 84107-5844 | 2013-02-04 |
1669416129 | John M Hillyard | Orthopaedic Surgery | 1899 E Mystic Grove Cv, Cottonwood Heights, UT 84093-5509 | 2006-06-15 |
1063645554 | Yvonne Potter Fuellenbach | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2009-08-31 |
1326286972 | Peter G. Larcom Md PC | Orthopaedic Surgery | 5323 South Woodrow Street Suite 200, Murray, UT 84107 | 2009-02-04 |
1366460420 | G Lynn Rasmussen | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2006-07-17 |
1467486795 | Nathan G Momberger | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2006-07-11 |
1821029869 | Peter G Larcom | Orthopaedic Surgery | 5316 S Woodrow St Ste 200, Murray, UT 84107-5838 | 2006-07-06 |
City | SALT LAKE CITY |
Zip Code | 84124 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.