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NPI Code Detail

MEDICARE: MICHAEL BRIAN BECKNELL MD, PHD

MEDICARE:   MICHAEL BRIAN BECKNELL  MD, PHD
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
12080P0210XPediatric Nephrology Physician35.094819OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H206630OTHEROHCGS - MEDICARE

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 : 1790946150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BRIAN BECKNELL MD, PHD
Provider Business Mailing Address
First Line : 700 CHILDREN'S DRIVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2654
Country : US
Telephone Number : 614-722-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 02/20/2026

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Directions to “ MICHAEL BRIAN BECKNELL MD, PHD” Practice Location

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