Evolve Restorative Center
NPI 1215437249ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Santa Rosa, CA
Pain Medicine, Interventional Pain Medicine in Santa Rosa, California, registered in NPPES in February 2018. The authorized official on file is Eric Bruntlett, Coo. Enrolled in Medicare as dme supplier - physician - anesthesiology and part b supplier - clinic/group practice.
Overview
| NPI | 1215437249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2018 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Anesthesiology (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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