BUSSIE A. EVANS MD – NPI #1407875073
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

BUSSIE EVANS is a physician located in PANAMA CITY, FL. NPPES has assigned the NPI number 1407875073 to BUSSIE EVANS on July 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Feb 18, 2020. 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 BUSSIE EVANS below.

NPI Profile for
BUSSIE A. EVANS

NPI Number
1407875073
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BUSSIE A. EVANS
Credentials
MD
Primary location
625 W BALDWIN RD STE C
PANAMA CITY, FL 32405-3359
Phone: (850) 769-0329 Fax: (844) 212-7396
1 Other location(s):
2507 Harrison Ave Unit 101
Panama City, FL 32405-4447
Phone: (850) 769-0329
Fax: (844) 563-8135
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BUSSIE EVANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL044549500
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
FL ME0056215
174400000X
- Specialist
FL ME0056215

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.