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Bear River Urology, LLC

NPI 1063708592ActiveOrganization· Urology· Evanston, WY

Urology in Evanston, Wyoming, registered in NPPES in June 2011. The authorized official on file is Michael E. Van Bibber, MD, Owner.

Overview

NPI1063708592
StatusActive
Entity typeOrganization
NPI issuedJun 23, 2011
Last updated in NPPESJun 23, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Urology Primary208800000XTL#1572WY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years