Brent W Beasley
Internist Geriatric Medicine
4444 E 41st St
Tulsa
, Oklahoma 74135-2527
Brent W Beasley
Internist Geriatric Medicine
4444 E 41st St
Tulsa
, Oklahoma 74135-2527
(918) 619-4152
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Brent W Beasley
- Po Box 268838
- Oklahoma City, OK
- Zip : 73126-8838
- Fax : (918) 619-4152
- Phone : (918) 619-4400
Second Address
- Brent W Beasley
- 4444 E 41st St
- Tulsa, OK
- Zip : 74135-2527
- Fax : (918) 619-4152
- Phone : (918) 619-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 18452 | OK |
| Y | 111NI0900X | Internist | 18452 | OK |
| N | 207RG0300X | Geriatric Medicine | 0426982 | KS |
| N | 207RG0300X | Geriatric Medicine | 2000163858 | MO |
National Provider Identifier
| NPI | 1043278484 |
|---|---|
| Provider Name | Brent W Beasley |
| First Address | Oklahoma City, OK 73126-8838 |
| Second Address | Tulsa, OK 74135-2527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 07/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0401810 | UNITED HEALTHCARE (01) | MO |
| 186249 | COVENTRY (01) | MO |
| 200189777 | HUMANA (01) | MO |
| 27634041 | BLUE CROSS BLUE SHIELD (01) | MO |
| 5612302005 | CIGNA (01) | MO |
| 5682498 | AETNA (01) | MO |
| G06922 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.