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MR. RICHARD BRUCE EVANS PA-C
NPI 1912043126
Physician Assistant - Surgical in Dearborn, MI

Active since January 29, 2007PECOS Enrolled
19401 HUBBARD DRIVE, DEARBORN, MI 48126(313) 982-8475 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard Bruce Evans Pa-c NPPES

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

MR. RICHARD BRUCE EVANS PA-C (NPI 1912043126) is an individual surgical provider in Dearborn, Michigan, licensed in Michigan (5601001293) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912043126
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RICHARD BRUCE EVANSCredential: PA-C
Location Address19401 HUBBARD DRIVEDearborn, MI 48126
Mailing Address5554 E Dartmoor DrMonroe, MI 48161-5000 · (734) 457-2935
Phone(313) 982-8475
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912043126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601001293
19401 HUBBARD DRIVE, Dearborn, MI 48126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Richard Bruce Evans Pa-c 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.

Other Providers at the Same Location NPPES 4

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

MR. MICHAEL T PRICE PA-C
Physician Assistant
19401 HUBBARD DRIVE, HENRY FORD HOSPITAL FAIRLAINE ER
DEARBORN, MI 48126
Wayne County (313) 982-8369
HENRY FORD HEALTH SYSTEMS
Clinic/Center (Community Health)
19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8245
RICHARD CIESLAK MD
Emergency Medicine
19401 HUBBARD DRIVE, SUITE 207 HENRY FORD HEALTH SYSTEM
DEARBORN, MI 48126
Wayne County (313) 982-8261
CARLY TARR MD
Emergency Medicine
19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8100

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 Richard Evans's NPI number?

The NPI number for Richard Evans is 1912043126. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Richard Evans located?

Richard Evans practices at 19401 Hubbard Drive, Dearborn, MI 48126. The listed phone number is (313) 982-8475.

What is Richard Evans's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Richard Evans enrolled in Medicare?

Yes. Richard Evans is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Evans was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.