BRIDGER VALLEY FAMILY PRACTICE – NPI #1801084926
Family Medicine

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.

BRIDGER VALLEY FAMILY PRACTICE is a provider located in LYMAN, WY. NPPES has assigned the NPI number 1801084926 to BRIDGER VALLEY FAMILY PRACTICE on October 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGER VALLEY FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is EVANSTON CLINIC CORP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGER VALLEY FAMILY PRACTICE below.

NPI Profile for
EVANSTON CLINIC CORP

NPI Number
1801084926
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVANSTON CLINIC CORP
Doing Business As (dba): BRIDGER VALLEY FAMILY PRACTICE
Primary location
107 N MAIN ST
LYMAN, WY 82937
Phone: (307) 787-3313 Fax:
Mailing address
7100 COMMERCE WAY
SUITE 180
BRENTWOOD, TN 37027-2829
Phone: (615) 465-7626 Fax:
Organization Subpart
Yes - BRIDGER VALLEY FAMILY PRACTICE is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
WY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.