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Evergreen Family Medicine, PC

Family Medicine Physician in Brockport, NY · enumerated 2006 · authorized official David Newman, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528164936

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Family Medicine, PC
Practice address 4079 Lake Rd N, Brockport, NY, 14420
Fax (585) 637-0562
Enumeration date Sep 15, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Newman
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evergreen Family Medicine, PC?
The NPI for Evergreen Family Medicine, PC is 1528164936, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Family Medicine, PC?
NPPES lists David Newman (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.