1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Family Medicine
  6. NPI Profile

DR. EVAN BRADLEY FONGER MD
NPI 1467655886
Family Medicine in Detroit, MI

Active since June 06, 2007PECOS Enrolled
400 MACK AVENUE, DETROIT, MI 48201(313) 578-5000(313) 578-6379 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Apr 16, 2019 (2 updates tracked since 2019).

About Dr. Evan Bradley Fonger Md NPPES

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

DR. EVAN BRADLEY FONGER MD (NPI 1467655886) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301087817) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467655886
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EVAN BRADLEY FONGERCredential: MD
Location Address400 MACK AVENUEDetroit, MI 48201
Mailing Address400 Mack AvenueDetroit, MI 48201 · (313) 578-5000 · Fax (313) 578-6379
Phone(313) 578-5000
Fax(313) 578-6379
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1467655886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301087817
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 4301087817 (MI)
400 MACK AVENUE, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Bradley Fonger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fonger's NPI number?

The NPI number for Evan Fonger is 1467655886. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Evan Fonger located?

Evan Fonger practices at 400 Mack Avenue, Detroit, MI 48201. The listed phone number is (313) 578-5000.

What is Evan Fonger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evan Fonger enrolled in Medicare?

Yes. Evan Fonger is registered in the Medicare PECOS enrollment system.

What insurance does Evan Fonger accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Evan Fonger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Fonger was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.