Individual
DR. REX E MANIFOLD
Active
Individual
DR. REX E MANIFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87-264
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19959
—
NM
05
—
268153
—
AZ
05
—
39289
—
NM
05
—
5707722
—
VA
05
—
59276703
—
CO
01
—
961268
PRONET / AETNA
NM
01
—
NM009G14
BLUE CROSS BLUE SHEILD
NM
Enumeration date
05/27/2005
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up