Healthcare Provider Details

I. General information

NPI: 1659340826
Provider Name (Legal Business Name): BILLY REID MCBAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 DAVE WARD DR STE 103
CONWAY AR
72034-7145
US

IV. Provider business mailing address

655 DAVE WARD DR STE 103
CONWAY AR
72034-7145
US

V. Phone/Fax

Practice location:
  • Phone: 501-209-4040
  • Fax: 501-205-1776
Mailing address:
  • Phone: 501-209-4040
  • Fax: 501-205-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC7950
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: