Healthcare Provider Details

I. General information

NPI: 1467597518
Provider Name (Legal Business Name): DAVID WILLIAM REID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 LOUISA AVE SUITE 115
VA BEACH VA
23454
US

IV. Provider business mailing address

324 LOUISA AVE SUITE 115 SOUTH
VA. BEACH VA
23454
US

V. Phone/Fax

Practice location:
  • Phone: 757-456-0505
  • Fax: 757-456-0817
Mailing address:
  • Phone: 757-456-0505
  • Fax: 757-456-0817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101033089
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: