Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wallace Beverly McLeod III, MD

Individual provider Family Medicine Physician · NPI 1922035237

Dr. Wallace Beverly McLeod III, MD is a Family Practice in Oklahoma City, Oklahoma. Graduated from Howard University College of Medicine in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
51
Trained at
Howard University College of Medicine
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2216 N Martin Luther King Ave
Oklahoma City, OK 73111-2404
Phone: (405) 424-0111
Fax: (405) 424-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15393 (OK)

Record details

NPI number1922035237
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2006
Last updated in NPPESJune 19, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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