EVAN T BELFER MD SC
NPI 1184927303
Clinic/Center in Murphysboro, IL

Active since December 09, 2010CLIA 14D0436719 · Waiver
801 N 14TH ST, MURPHYSBORO, IL 62966(618) 687-2319(618) 684-3321 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan T Belfer Md Sc NPPES

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

EVAN T BELFER MD SC (NPI 1184927303) is a healthcare organization registered as a clinic/center in Murphysboro, Illinois and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Evan T Belfer, President, as its authorized official.

NPPES Registry Identity

NPI1184927303
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVAN T BELFER MD SC
Location Address801 N 14TH STMurphysboro, IL 62966-1611
Mailing Address801 N 14th StMurphysboro, IL 62966-1611 · (618) 687-2319 · Fax (618) 684-3321
Fax(618) 684-3321
Organization SubpartNo
Authorized OfficialEvan T BelferPresident · (618) 687-2319
Enumeration DateDecember 9, 2010
Last NPPES UpdateSeptember 14, 2011
NPI 1184927303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 036-107906
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
801 N 14TH ST, Murphysboro, IL 62966

Other Identifiers 7

Other039-32006IL · Bluecross Blueshield
Other080191627IL · Railroad Medicare
Other614634500IL · Department Of Labor
Other431741IL · Healthlink
Medicaid036-107906IL
Other078338IL · Health Alliance
Medicare UPINH73730IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0436719

Evan T Belfer MD Sc · Murphysboro, IL
Active · expires Aug 31, 2026
CLIA Number14D0436719
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEvan Belfer MD
Laboratory Phone(618) 687-2319
Laboratory LocationEvan T Belfer MD Sc801 North 14th Street, Murphysboro, IL 62966
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
801 N 14TH ST
MURPHYSBORO, IL 62966

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 Evan T Belfer MD Sc's NPI number?

The NPI number for Evan T Belfer MD Sc is 1184927303. It was assigned to this organization in the NPPES registry on December 9, 2010.

Where is Evan T Belfer MD Sc located?

Evan T Belfer MD Sc is located at 801 N 14th St, Murphysboro, IL 62966. The listed phone number is (618) 687-2319.

What is Evan T Belfer MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evan T Belfer MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0436719) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evan T Belfer MD Sc was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.