Individual ProviderBrad EvertEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669(484) 526-1000PECOS EnrollmentBased on the most recent information from CMS, provider Brad Evert is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1609613157Provider TypeIndividualFull NameEvert, BradCredentialDOGenderMaleSole ProprietorYesEnumeration Date7/11/2024Last Updated7/11/2024Contact InformationPractice LocationPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669Phone(484) 526-1000FaxUnlisted FaxMailing LocationMailing Address1700 St Lukes Blvd, Easton, PA 18045-5670Phone(484) 526-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseOT023807Pennsylvania