CHARLES BONNEY TAYLOR


Address: 3259 Catlin Ave, Quantico, VA 22134-5109
Phone: 7037845541

CHARLES BONNEY TAYLOR (NPI# 1528474616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528474616
Entity Type Individual
Full Name CHARLES BONNEY TAYLOR
Practice Address 3259 Catlin Ave
Quantico
VA 22134-5109
Practice Telephone 7037845541
Mailing Telephone 7037845541
Enumeration Date 2014-07-09
Last Update Date 2014-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers CHARLES TAYLOR

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1730786070 Charles Thaddious Taylor Jr. Licensed Practical Nurse 115 Chili Ave, Rochester, NY 14611-2604 2020-10-08
1831691740 Charles Taylor Behavioral Analyst 196 Broyles Rd, Spring City, TN 37381-5406 2018-03-06
1265972368 Charles Taylor Counselor 1200 6th Ave S, Jasper, AL 35501-4606 2017-03-08
1649607094 Charles Reid Taylor Speech-Language Pathologist 109 Atlantic St, Jersey City, NJ 07304-2303 2013-10-01
1689911737 Charles W Taylor IIi Chiropractor 703 E Market St, Scranton, PA 18509-1257 2013-01-09
1124376025 Charles Taylor Pharmacist 84 Candlelite Dr, Almo, KY 42020-9526 2012-08-27
1255637476 Charles Joel Taylor Counselor 8305 Se Monterey Ave Ste 111, Happy Valley, OR 97086-7753 2011-02-04
1245547595 Charles D Taylor Dentist 24430 Gratiot, Eastpointe, MI 48021 2010-09-08
1184950610 Charles David Taylor Marriage & Family Therapist 222 E Yanonali St Unit A, Santa Barbara, CA 93101-1855 2009-10-17
1407037369 Charles W Taylor Dentist 1245 Southern Blvd., Bronx, NY 10459 2007-11-20

Office Location

Street Address 3259 CATLIN AVE
City QUANTICO
State VA
Zip Code 22134-5109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023001831 Ivan Roman Dentist 3259 Catlin Ave, Naval Health Clinic Quantico, Quantico, VA 22134 2005-08-26
1558987354 Scott Alan Bauer Optometrist 3259 Catlin Ave, Quantico, VA 22134-5109 2020-06-18
1689219214 Caitlin Rose Morgan Nurse Practitioner 3259 Catlin Ave, Quantico, VA 22134-5109 2019-11-07
1790329761 Lindsay Elizabeth Jensen Physician Assistant 3259 Catlin Ave, Quantico, VA 22134-5109 2019-11-03
1679008312 Lien Vinh Bao Lee Pharmacist 3259 Catlin Ave, Quantico, VA 22134-5109 2017-05-01
1447703376 Anne Sidwell Physical Therapist 3259 Catlin Ave, Quantico, VA 22134-5109 2016-07-27
1174997324 Keith Lee Sr. Physical Therapist 3259 Catlin Ave, Quantico, VA 22134-5109 2015-11-25
1962880344 Lesley Michelle Washington Registered Nurse 3259 Catlin Ave, Quantico, VA 22134-5109 2015-05-18
1215314042 Jorge Gonzalo Jara Physician Assistant 3259 Catlin Ave, Naval Health Clinic, Quantico, VA 22134-6050 2015-04-30
1144616467 Jenna Golding Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2015-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407413065 Elyssa Marie Salcido Physician Assistant Naval Heatlh Clinic Quantico, 3259 Catlin Avenue, Quantico, VA 22134 2019-05-20
1396277885 Krista Lynn Greene Optometrist 3259 Catilin Avenue, Naval Health Clinic, Quantico, Quantico, VA 22134 2017-04-03
1639526593 Kathy Olson Social Worker 2134 Barnett Avenue, Little Hall Lower Level, Quantico, VA 22134 2016-05-20
1215285788 Laura K Goodman Specialist/Technologist 12081 Mason Dr, Quantico, VA 22134 2012-08-15
1437441706 Danielle Michelle Lagoski Family Medicine 1998 Hill Ave, Quantico, VA 22134 2011-05-05
1639493695 Alicia Elizabeth Heili Specialist/Technologist 24164 Belleau, Quantico, VA 22134 2010-03-19
1598958308 Branch Medical Clinic The Basic School Clinic/Center 24008 Mcb #2, Quantico, VA 22134 2007-08-24
1194824227 Naval Health Clinic Quantico Military/U.S. Coast Guard Pharmacy Nmc 2200 Lester Avenue, Quantico, VA 22134 2006-09-22
1780783811 Naval Health Clinic Quantico Military/U.S. Coast Guard Pharmacy Quantico Nmc Attn: Third Party Billing, 3259 Catlin Ave, Quantico, VA 22134 2006-09-22
1548219249 Andrew Alexander Mcbain Chiropractor The Basic School Ray Health Clinic, Mcb2 24008, Quantico, VA 22134 2006-05-09
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275785818 Christy Ann Hood Military Health Care Provider 2359 Catlin Avenue, Quantico, VA 22134-6050 2008-10-15
1154790228 Alexander John Mills Military Health Care Provider 2189 Elrod Ave, Quantico, VA 22134-5113 2015-09-18
1144616467 Jenna Golding Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2015-04-14
1225369606 Michael Pirone Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2010-01-25
1780849471 Michael Aaron Cotton Military Health Care Provider 3259 Catlin Avenue, Naval Health Clinic, Quantico, VI 22134-6050 2008-07-23
1659546554 Michael Angel Santana Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2008-04-23
1114191343 Alan P Kropf Military Health Care Provider 2189 Elrod Ave, Quantico, VA 22134-5113 2008-04-18
1851587166 Jeffrey Robert Geiser Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2007-09-20
1255526547 Kevin Dale Joyner Military Health Care Provider 3259 Catlin Ave, Naval Health Clinic Quantico, Quantico, VA 22134-5109 2007-09-10
1942278460 Adrian L Dunkerley Military Health Care Provider 3259 Catlin Ave, Quantico, VA 22134-5109 2006-03-10
Find all providers in QUANTICO

Competitor

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City QUANTICO
Zip Code 22134

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Dataset Information

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.

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