Brock Evans (NPI# 1073785010, PAC ID# 3476624586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1073785010 |
| PAC ID by PECOS | 3476624586 |
| Professional Enrollment ID | I20080617000773 |
| Full Name | Brock Evans |
| Organization Legal Name | EAST TENNESSEE ORAL AND MAXILLOFACIAL SURGERY, PC |
| Address |
1505 E Lamar Alexander Pkwy Maryville TN 37804-5131 |
| Phone Number | 8659838630 |
| Gender | M |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 9234103359 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 8659838630 | EAST TENNESSEE ORAL AND MAXILLOFACIAL SURGERY, PC |
| Organization Legal Name | EAST TENNESSEE ORAL AND MAXILLOFACIAL SURGERY, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy A Trondson | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| Mark M Widloski | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| William May | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| Street Address |
1505 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip | 37804-5131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy A Trondson | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| Mark M Widloski | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| William May | Maxillofacial Surgery | East Tennessee Oral and Maxillofacial Surgery, PC | 1505 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Poese | Physician Assistant | Carole L Long Md PC | 2036 Chilhowee, Professional Bldg, Maryville, TN 37804-0001 |
| Paul D Rook | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Natalie H Mcamis | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Elisabeth J Galloway | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Sharon N Chastain | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Tracy Gibson Grabman | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Angela L Obear | Clinical Social Worker | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Shannon E Everette | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Renee J Hyatt | Internal Medicine | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Traci C Grime | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Find all physicians in zip 37804 | |||
| City | MARYVILLE |
| Zip Code | 37804 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MARYVILLE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Brock Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.