Evan Buckley, DO
NPI 1104629336 · Student in an Organized Health Care Education/Training Program · Jackson, MS
Evan Buckley, DO is a Student in an Organized Health Care Education/Training Program provider in Jackson, MS (NPI 1104629336).
Provider details
- NPI number
- 1104629336
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Frequently asked questions
- What is Evan Buckley's NPI number?
- Evan Buckley's National Provider Identifier (NPI) is 1104629336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Buckley's specialty?
- Evan Buckley is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Evan Buckley located?
- Evan Buckley's practice location on file with NPPES is 1225 N State St, Jackson, MS 39202-2097.
- What is Evan Buckley's phone number?
- The practice phone number listed in the NPPES registry for Evan Buckley is (601) 968-1000.
- Is Evan Buckley's NPI active?
- Yes — Evan Buckley's NPI (1104629336) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.