Individual
BRADLEY H EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 NW CARY PKWY, CARY, NC 27513-8431
(919) 235-6415
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201200980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172MY
BLUE CROSS BLUE SHIELD
NC
Enumeration date
05/05/2009
Last updated
02/23/2021
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