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BEVAN SAM DO
NPI 1528909512
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since April 03, 2026
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-4259 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Apr 3, 2026 (2 updates tracked since 2026).

About Bevan Sam Do NPPES

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

BEVAN SAM DO (NPI 1528909512) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1528909512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBEVAN SAMCredential: DO
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address218 Farnum BlvdFranklin Square, NY 11010-1624 · (347) 475-6486
Phone(315) 464-4259
Sole ProprietorYes
Enumeration DateApril 3, 2026
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1528909512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
750 E ADAMS ST, Syracuse, NY 13210
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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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Bevan Sam's NPI number?

The NPI number for Bevan Sam is 1528909512. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Bevan Sam located?

Bevan Sam practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4259.

What is Bevan Sam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bevan Sam was last updated on April 16, 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.