GLENN P. DEWBERRY, JR. M.D. – NPI #1548205214
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GLENN DEWBERRY, JR. is a physician located in BETHANY, OK. NPPES has assigned the NPI number 1548205214 to GLENN DEWBERRY, JR. on June 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Apr 28, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENN DEWBERRY, JR. below.

NPI Profile for
GLENN P. DEWBERRY, JR.

NPI Number
1548205214
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN P. DEWBERRY, JR.
Credentials
M.D.
Primary location
2701 N ROCKWELL AVE
BETHANY, OK 73008-5246
Phone: (405) 755-4050 Fax: (405) 752-1553
Mailing address
4401 W MEMORIAL RD
SUITE #140
OKLAHOMA CITY, OK 73134-1785
Phone: (405) 752-3162 Fax: (405) 936-5211
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLENN DEWBERRY, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEOK11240
OTHEROBNDDOK15648
OTHERRAILROADOK080156332
MEDICAIDOK100110540B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OK 11240

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.