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NPI Code Detail

MEDICARE: TARA LEIGH MCBRIDE

MEDICARE: TARA LEIGH MCBRIDE
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1770439598
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA LEIGH MCBRIDE
Provider Business Mailing Address
First Line : 1100 POST OAK LN
Second Line :
City : EDMOND
State : OK
Zip : 73034-8055
Country : US
Telephone Number : 334-498-5707
Fax Number :
Provider Business Practice Location Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 334-498-5707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ TARA LEIGH MCBRIDE ” Practice Location

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