Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Evanson

Individual provider Dermatology Physician · NPI 1689069312

Bradley Evanson is a Dermatology in St George, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2015, 11 years ago. Practices with Southwest Skin and Cancer LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
11
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX, UT
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

383 S 300 E
St George, UT 84770-3620
Phone: (435) 628-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 12603519-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence S1396 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 12603519-1205 (UT)

Record details

NPI number1689069312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2015
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address383 S 300 E, St George, UT 84770-3620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southwest Skin And Cancer Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St George