Wilbert B Reeves II, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

225 Bennett Ave
Hurlburt Field, FL 32544-5707

Phone

(850) 884-1136

Fax

(850) 884-1241

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Wilbert B Reeves II Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1740415280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BENNETT AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445707",
            "telephone_number": "850-884-1135",
            "fax_number": "850-884-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BENNETT AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445707",
            "telephone_number": "850-884-1136",
            "fax_number": "850-884-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES II",
        "first_name": "WILBERT",
        "middle_name": "B",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILBERT",
            "last_name": "REEVES II",
            "middle_name": "B",
            "credential": "IDMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Independent Duty Medical Technicians in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Independent Duty Medical Technicians in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.