Individual
MICHAEL BERNARD EVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 269-1386
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
14929
SC
2085R0202X
Diagnostic Radiology Physician
Primary
14929
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149299
—
SC
01
—
P00813599
RAILROAD MEDICARE
SC
Enumeration date
01/30/2006
Last updated
06/17/2024
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