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DR. BRADLEY A EVANOFF MD
NPI 1073539391
Internal Medicine in Saint Louis, MO

Active since July 14, 2006
4901 FOREST PARK AVE, STE 241, SAINT LOUIS, MO 63108(314) 362-5060(314) 362-6959 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Nov 14, 2016 (3 updates tracked since 2016).

About Dr. Bradley A Evanoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY A EVANOFF MD (NPI 1073539391) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (R1J59) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073539391
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRADLEY A EVANOFFCredential: MD
Location Address4901 FOREST PARK AVE, STE 241Saint Louis, MO 63108-1495
Mailing Address660 S Euclid Ave, Cb 8005Saint Louis, MO 63110-1010 · (314) 362-5060 · Fax (314) 454-5554
Phone(314) 362-5060
Fax(314) 362-6959
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
✔ NPI 1073539391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R1J59
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4901 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid206866907MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JILLIAN MEI-LING LIU MD PHD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Evanoff's NPI number?

The NPI number for Bradley Evanoff is 1073539391. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Bradley Evanoff located?

Bradley Evanoff practices at 4901 Forest Park Ave Ste 241, Saint Louis, MO 63108. The listed phone number is (314) 362-5060.

What is Bradley Evanoff's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Bradley Evanoff was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.