Christopher Bewan
Individual provider Active NPI Peer Specialist · Miami, OK
NPI 1124855432 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1124855432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 130 W Steve Owens Blvd
Miami, OK 74354-7629 - Phone
- (918) 675-4100
- Fax
- (918) 675-4615
- NPI assigned
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Council on Alcoholism, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
130 W Steve Owens Blvd
Miami, OK 74354-7629
Mailing address
304 N Mickey Mantle Blvd
Commerce, OK 74339-1110
Phone (918) 675-4100
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.