Healthcare Provider Details

I. General information

NPI: 1255355772
Provider Name (Legal Business Name): REBECCA M EVANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13019 BRIGHTON AVE
CARMEL IN
46032-9672
US

IV. Provider business mailing address

13019 BRIGHTON AVE
CARMEL IN
46032-9672
US

V. Phone/Fax

Practice location:
  • Phone: 317-224-7018
  • Fax:
Mailing address:
  • Phone: 317-225-7018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01045852A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: