DR. BERNARD G TAYLOR (NPI# 1558334557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558334557 |
| Entity Type | Individual |
| Full Name | DR. BERNARD G TAYLOR |
| Credential | MD |
| Practice Address |
132 E Mossville Rd Peoria IL 61615-9793 |
| Practice Telephone | 3096458588 |
| Practice Fax Number | 3095793011 |
| Mailing Telephone | 3096458588 |
| Mailing Fax Number | 3095793011 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036-053087 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBSIL | 7215156 | 01 |
| IL | 036053087 | 05 | |
| IL | MCR ID NUMBER | IL2005002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1356441737 | Bernard G Taylor | Internal Medicine | 11 Upper Riverdale Rd, Sw, Riverdale, GA 30274 | 2006-09-25 |
| 1205878345 | Bernard William Taylor Jr. | Radiology | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-12 |
| Street Address |
132 E MOSSVILLE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335802 | Integrated Medical Wellness Center, LLC | Internal Medicine | 10184 W Happy Valley Pkwy Ste 180, Peoria, AZ 85383-1254 | 2020-08-06 |
| 1285767087 | David L Gorenz | Internal Medicine | Osf Saint Francis Medical Ctr, 530 N E Glen Oak, Peoria, IL 61637-0001 | 2007-03-13 |
| 1437122397 | Amit Dhingra | Internal Medicine | 13634 N 93rd Ave Ste 100, Peoria, AZ 85381-4915 | 2006-02-10 |
| 1508854787 | Girish Himatlal Mehta | Internal Medicine | 13634 North 93rd Avenue, Suite 100, Peoria, AZ 85381 | 2005-10-11 |
| 1578863288 | Car Medical, PC | Internal Medicine | 13216 N Plaza Del Rio Blvd, Peoria, AZ 85381-4907 | 2010-10-27 |
| 1801127568 | Gagandip B Singh | Internal Medicine | 13634 N 93rd Ave Ste 100, Peoria, AZ 85381-4915 | 2010-01-20 |
| 1134352842 | Illinois Specialty Physician Services At Osf, LLC | Internal Medicine | 1001 Main St, Ste 200, Peoria, IL 61606-1907 | 2009-08-27 |
| 1306923750 | Jack Steven Tuber | Internal Medicine | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2006-11-01 |
| 1437244555 | Jon Christopher Michel | Internal Medicine | 1001 Main St, Illinois Lung and Critical Care Suite 200, Peoria, IL 61606-1907 | 2006-10-04 |
| 1316991193 | Ossama Ikladios | Internal Medicine | 1001 Main St, Suite 200, Peoria, IL 61606-1907 | 2006-05-19 |
| Find all providers in PEORIA | ||||
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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.