| Brent A Beson Md Pc | |
|
4221 S Western Ave 5000 Oklahoma City OK 73109-3447 | |
| (405) 644-5160 | |
| (405) 644-5162 |
| Full Name | Brent A Beson Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4221 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brent A Beson (PHYSICIAN) |
| Authorized Official Contact | 4056445160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent A Beson Md Pc 4221 S Western Ave 5000 Oklahoma City OK 73109-3447 Ph: (405) 644-5160 | Brent A Beson Md Pc 4221 S Western Ave 5000 Oklahoma City OK 73109-3447 Ph: (405) 644-5160 |
| NPI Number | 1740500164 |
|---|---|
| Provider Enumeration Date | 06/08/2010 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 4284806845 |
|---|---|
| Medicare Enrollment ID | O20111004000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740500164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 23752 (Oklahoma) | Primary |
| Provider Name | Brent Beson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538251632 PECOS PAC ID: 4789597741 Enrollment ID: I20040720001315 |
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