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NPI Code Detail

MEDICARE: REBA BEARD MD

MEDICARE:   REBA  BEARD  MD
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 Physician13557OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982665956
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBA BEARD MD
Provider Business Mailing Address
First Line : 1200 MAGNOLIA CRT STE 102
Second Line :
City : MOORE
State : OK
Zip : 73160
Country : US
Telephone Number : 405-650-5470
Fax Number : 405-261-9266
Provider Business Practice Location Address
First Line : 1200 MAGNOLIA CRT STE 102
Second Line :
City : MOORE
State : OK
Zip : 73160
Country : US
Telephone Number : 405-793-9355
Fax Number : 855-538-3095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 04/15/2026

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Directions to “ REBA BEARD MD” Practice Location

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