# ROBERT BRADLEY REEVES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790706505
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 100174 | MO | — |
| 207X00000X | Orthopaedic Surgery Physician | 7623 | SD | — |
| 207X00000X | Orthopaedic Surgery Physician | C-7011 | AR | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 02/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100135410B | — | KS |
| 01 | — | 11464 | ANTHEM | MO |
| 01 | — | 200033678 | RR MEDICARE | — |
| 05 | — | 203311006 | — | MO |