Individual
DR. DAVID LOWELL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 450, MATTHEWS, NC 28105-2387
(704) 384-8480
(704) 384-8481
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(919) 497-3526
(919) 497-3539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01706
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
J7305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00894N
MEDICARE GROUP NUMBER
TX
01
—
J7305
STATE LICENSE NUMBER
TX
Enumeration date
01/16/2007
Last updated
03/07/2023
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