| Mr Bradley Thomas Evans, FNP-BC | |
|
1923 W Glen Park Ave, Griffith, IN 46319-3703 | |
| (219) 922-2535 | |
| Not Available |
| Full Name | Mr Bradley Thomas Evans |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1923 W Glen Park Ave, Griffith, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447066725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71016121A (Indiana) | Primary |
| Entity Name | Nwi Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Entity Name | Midwest Express Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
| Entity Name | Midwest Express Care 4 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629502810 PECOS PAC ID: 4284909615 Enrollment ID: O20180131001651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Thomas Evans, FNP-BC 1923 W Glen Park Ave, Griffith, IN 46319-3703 Ph: (219) 922-2535 | Mr Bradley Thomas Evans, FNP-BC 1923 W Glen Park Ave, Griffith, IN 46319-3703 Ph: (219) 922-2535 |
Amie A Burns, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1573 N Cline Ave, Griffith, IN 46319 Phone: 219-838-2311 | |
Raven Antoinette Levy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1923 W Glen Park Ave, Griffith, IN 46319 Phone: 219-922-2535 | |
Regina Channell Ruffin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1923 W Glen Park Ave, Griffith, IN 46319 Phone: 219-922-2535 | |
Lori P Turner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 W 35th Ave, Griffith, IN 46319 Phone: 219-923-9200 Fax: 219-513-9477 | |
Keri Leeann Whitcomb, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1923 W Glen Park Ave, Griffith, IN 46319 Phone: 219-922-2535 | |
Jelena Sljivar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1923 W Glen Park Ave, Griffith, IN 46319 Phone: 219-922-2535 |