Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leah Bustard Evans, PA-C

Individual provider Physician Assistant · NPI 1649445875

Leah Bustard Evans, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2003, 23 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-3663
Fax: (215) 707-6417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3400 N Broad St, Philadelphia, PA 19140-5104 — (215) 707-3663
  • 3400 N Broad St, Philadelphia, PA 19140-5104 — (215) 707-3663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051368 (PA)

Record details

NPI number1649445875
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2008
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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