MEDICARE: DR. NEAL S BECKFORD M.D.

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
1	207Y00000X	Otolaryngology Physician	16199	TN

General Provider Information

NPI Number	:	1265540363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL S BECKFORD M.D.

Provider Business Mailing Address
First Line	:	965 RIDGE LAKE BLVD STE 103
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9446
Country	:	US
Telephone Number	:
Fax Number	:	901-227-8591

Provider Business Practice Location Address
First Line	:	7675 WOLF RIVER CIR STE 202
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1747
Country	:	US
Telephone Number	:	901-737-3021
Fax Number	:	901-737-6063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	05/19/2026

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