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NPI Code Detail

MEDICARE: GREGGORY AUGUSTIN BECKLEY M.D.

MEDICARE: GREGGORY AUGUSTIN BECKLEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35.127064OH

General Provider Information

NPI Number : 1225325905
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGGORY AUGUSTIN BECKLEY M.D.
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : ML 7015
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4266
Fax Number : 513-636-3549
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : ML 7015
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4266
Fax Number : 513-636-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2011
Last Update Date : 03/12/2026

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