Individual
BRAD A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7700 UNIVERSITY DR, WEST CHESTER, OH 45069-2505
(513) 298-7325
(513) 298-7406
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34008200
OH
208M00000X
Hospitalist Physician
Primary
34008200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002000
—
IN
05
—
2583548
—
OH
05
—
7100137860
—
KY
Enumeration date
06/06/2006
Last updated
03/11/2020
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