IndividualActive
Adam Bevan, M.D., PH.D.
NPI 1992110787 · Neurological Surgery Physician · Provo, UT
Provider details
- NPI number
- 1992110787
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2014019153 (MO)
Practice location
1055 N 300 W Ste 400
Provo, UT 84604-3359
Phone: (801) 357-7404
Fax: (801) 357-7587
Mailing address
1055 N 300 W Ste 400
Provo, UT 84604-3359
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2021-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.