DR. BRADLEY MICHAEL TAYLOR (NPI# 1023338241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023338241 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY MICHAEL TAYLOR |
| Credential | M.D. |
| Practice Address |
4755 Pasture Rd Bldg 299 Naval Branch Clinic Fallon Fallon NV 89496-0001 |
| Practice Telephone | 7754263112 |
| Mailing Telephone | 7754263112 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD.31138 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
| 1609363126 | Bradley R Taylor Sr. | Counselor | 2697 International Pkwy Ste 104-1, Virginia Beach, VA 23452-7805 | 2018-04-19 |
| 1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1639376239 | Bradley Alan Taylor | Dentist | 2517 Burns Rd, Palm Beach Gardens, FL 33410-5204 | 2007-06-28 |
| 1417070368 | Bradley E Taylor | Specialist/Technologist | 1 Neumann Dr, Aston, PA 19014-1277 | 2007-04-07 |
| 1508360553 | Bradley Joel Taylor | Optometrist | 1100 N College Ave, Fayetteville, AR 72703 | 2018-03-22 |
| 1922529080 | Bradley Shane Taylor | Nurse Practitioner | 4645 Village Square Dr Ste C, Paducah, KY 42001-7448 | 2017-06-29 |
| 1194262675 | Bradley Taylor | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106 | 2017-01-23 |
| 1013328632 | Bradley Taylor | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-16 |
| Street Address |
4755 PASTURE RD BLDG 299 NAVAL BRANCH CLINIC FALLON |
| City | FALLON |
| State | NV |
| Zip Code | 89496-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386615748 | John C. Marinucci | Dentist | 4755 Pasture Rd Bldg 299, Fallon, NV 89496-0001 | 2006-02-01 |
| 1467864009 | Naval Health Clinic Lemoore | Military/U.S. Coast Guard Pharmacy | 4755 Pasture Rd Bldg 299, Fallon, NV 89496-5000 | 2014-06-02 |
| 1528165370 | Naval Health Clinic Lemoore | Military/U.S. Coast Guard Pharmacy | 4755 Pasture Rd Bldg 299, Fallon, NV 89496-5000 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875448 | John W Vincent | Family Medicine | 4755 Pasture Rd, Naval Branch Health Clinic Nas Fallon, Fallon, NV 89496-0001 | 2006-01-12 |
| 1003211848 | Arron Stokes | Physician Assistant | 4755 Pasture Rd, Fallon, NV 89496-0001 | 2014-10-22 |
| 1285991216 | Joseph A Ichull Jr. | Respiratory Therapist, Certified | Naval Branch Health Clinic, 4755 Pasture Road, Fallon, NV 89496-0001 | 2012-04-16 |
| 1720398225 | Steven Elek Iv | General Practice | 4755 Pasture Rd, Bld 299 Fallon Nas, Fallon, NV 89496-0001 | 2010-10-18 |
| 1386833242 | Angelo Joseph Apodaca | Military Health Care Provider | 4755 Pasture Rd, Fallon, NV 89496-0001 | 2007-10-17 |
| 1518360072 | U.S. Navy | Clinic/Center | 4755 Pasture Rd, Fallon, NV 89496-3115 | 2014-09-29 |
| 1770786741 | Branch Health Clinic Fallon | Clinic/Center | 477 Pasture Road, Fallon, NV 89496-5000 | 2007-06-07 |
| 1942270475 | Elvanson Rovincer Nantongo | Pharmacist | Naval Branch Health Clinic Nas Fallon Bldg 299, 4755 Pasture Road, Fallon, NV 89496-5000 | 2006-01-26 |
| 1235578964 | Janelle K Riley | Family Medicine | 4755 Pasture Rd, Bldg. 299, Fallon, NV 89496-5000 | 2013-06-16 |
| 1588915854 | Jeffrey M Clark | Dentist | Naval Branch Health Clinic, 4755 Pasture Rd., Bldg. 299, Fallon, NV 89496-5000 | 2012-09-27 |
| Find all providers in zip 89496 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720398225 | Steven Elek Iv | General Practice | 4755 Pasture Rd, Bld 299 Fallon Nas, Fallon, NV 89496-0001 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1629689310 | Korn Health Solutions, Pllc | General Practice | 343 Elm St Ste 201, Reno, NV 89503-4538 | 2020-08-14 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1720631070 | Regen Providers | General Practice | 730 Sandhill Rd Ste 120, Reno, NV 89521-8962 | 2019-07-16 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1265958862 | Ricardo Gonzalez Md Family Practice PC | General Practice | 2005 Sierra Highlands Dr Ste 101, Reno, NV 89523-2301 | 2017-08-16 |
| 1689057655 | Boheme, LLC | General Practice | 1100 Caughlin Xing, Reno, NV 89519-0613 | 2015-07-08 |
| 1659787414 | Nicholas T Welch | General Practice | 2283 Chestnut Ranch Ave, Henderson, NV 89052-0409 | 2014-07-01 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.