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

Evan Gleaves

Individual provider Internal Medicine Physician · NPI 1477181246

Evan Gleaves is an Internal Medicine in Bowling Green, Kentucky. Qualified in 2020, 6 years ago. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 780-2693
Fax: (270) 780-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 05558 (KY)

Record details

NPI number1477181246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address250 Park St, Bowling Green, KY 42101-1760

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Bowling Green