Healthcare Provider Details

I. General information

NPI: 1427409556
Provider Name (Legal Business Name): PATRICK REEVES D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14231 BEADLE LAKE RD
BATTLE CREEK MI
49014-8213
US

IV. Provider business mailing address

14231 BEADLE LAKE RD
BATTLE CREEK MI
49014-8213
US

V. Phone/Fax

Practice location:
  • Phone: 269-962-0441
  • Fax:
Mailing address:
  • Phone: 269-962-0441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101022646
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: