MEDICARE: JAMES R. BEYMER D.O.

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	207Q00000X	Family Medicine Physician	3441	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871563015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES R. BEYMER D.O.

Provider Business Mailing Address
First Line	:	612 W BYPASS
Second Line	:
City	:	DRUMRIGHT
State	:	OK
Zip	:	74030-5957
Country	:	US
Telephone Number	:	918-382-5955
Fax Number	:	918-382-5970

Provider Business Practice Location Address
First Line	:	612 WEST BYPASS
Second Line	:
City	:	DRUMRIGHT
State	:	OK
Zip	:	74030-5954
Country	:	US
Telephone Number	:	918-352-2555
Fax Number	:	918-352-4709

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	11/04/2021

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