Provider Demographics
NPI:1043940638
Name:MCBRIDE, MEGAN MAUREEN (DO)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MAUREEN
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 S JEFFERSON AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-4137
Mailing Address - Country:US
Mailing Address - Phone:614-873-3434
Mailing Address - Fax:
Practice Address - Street 1:480 S JEFFERSON AVE STE 500
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-4137
Practice Address - Country:US
Practice Address - Phone:614-873-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.0179660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine