NPI 1528062577 · live from the CMS NPI Registry
Charles Fuller Bethea, MD
Internal Medicine, Cardiovascular Disease in Oklahoma City, OK. National Provider Identifier 1528062577, active.
NPI record
| NPI | 1528062577 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112 |
| Practice phone | 405-947-3341 |
| Enumerated | June 8, 2005 |
| Last updated | April 12, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 9865 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.