MEDICARE: EVAN ANDERSON BRIDGES D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	2209	TX

General Provider Information

NPI Number	:	1457791188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN ANDERSON BRIDGES D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	281-996-9546
Fax Number	:	281-996-7645

Provider Business Practice Location Address
First Line	:	119 E EDGEWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3818
Country	:	US
Telephone Number	:	281-996-9546
Fax Number	:	281-996-7645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	02/10/2026

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