OrganizationActive
Bear River Urology, LLC
NPI 1063708592 · Urology Physician · Evanston, WY
Bear River Urology, LLC is a Urology Physician organization in Evanston, WY (NPI 1063708592).
Provider details
- NPI number
- 1063708592
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Van Bibber, Owner(801) 821-6717
- License
- TL#1572 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
196 Arrowhead Dr
Suite #4
Evanston, WY 82930-8752
Phone: (307) 789-8721
Street-level locationGet directions
Mailing address
196 Arrowhead Dr
Evanston, WY 82930-8752
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2011-06-23
Frequently asked questions
- What is Bear River Urology, LLC's NPI number?
- Bear River Urology, LLC's National Provider Identifier (NPI) is 1063708592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bear River Urology, LLC?
- Bear River Urology, LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Bear River Urology, LLC located?
- Bear River Urology, LLC's practice location on file with NPPES is 196 Arrowhead Dr, Evanston, WY 82930-8752.
- What is Bear River Urology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bear River Urology, LLC is (307) 789-8721.
- Who is the authorized official for Bear River Urology, LLC?
- The authorized official listed on Bear River Urology, LLC's NPPES record is Michael Van Bibber, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bear River Urology, LLC's NPI active?
- Yes — Bear River Urology, LLC's NPI (1063708592) is active in the NPPES registry as of the last update on 2011-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.