MEDICARE: BRUCE G EVANS MD PC

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1487504908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE G EVANS MD PC

Provider Business Mailing Address
First Line	:	1986 E FARM CIR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 S HOLLADAY BLVD STE 202
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-7168
Country	:	US
Telephone Number	:	801-406-9601
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRUCE EVANS
Credential	:
Telephone Number	:	801-406-9601

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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