BRUCE TAYLOR (NPI# 1760410849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760410849 |
| Entity Type | Individual |
| Full Name | BRUCE TAYLOR |
| Practice Address |
4258 Us Highway 80 W Selma AL 36701-2202 |
| Practice Telephone | 3348748800 |
| Practice Fax Number | 3348747700 |
| Mailing Telephone | 3348748800 |
| Mailing Fax Number | 3348747700 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
24464 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CLIA | 01D1015085 | 01 |
| AL | FEDERAL DEA | BT8368537 | 01 |
| AL | BC/BS | 51516872 | 01 |
| AL | 529916810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487821559 | Bruce Jackson Taylor Jr. | Plastic Surgery | 3910 Sweeten Creek Rd, Chapel Hill, NC 27514-9719 | 2008-05-08 |
| 1669681607 | Bruce Willard Taylor | Social Worker | 496 E Spring Ln, Lemoore, CA 93245-2449 | 2007-05-22 |
| 1861607889 | Bruce Samuel Taylor | Pharmacist | 12805 Princeleigh St, Upper Marlboro, MD 20774-1708 | 2007-05-12 |
| 1477622967 | Bruce Taylor | Dentist | 2100 E Matthews Ave, Jonesboro, AR 72401-4332 | 2006-11-07 |
| 1205294337 | Bruce Taylor | Non-emergency Medical Transport (VAN) | 315 E Meadow Dr, Athens, GA 30605-6204 | 2016-02-03 |
| 1104969492 | Bruce T Taylor | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2007-02-15 |
| 1609959493 | Bruce R. Taylor | Ophthalmology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-10-23 |
| 1790885903 | Bruce E. Taylor | Specialist | 1101 S 70th St, # 203, Lincoln, NE 68510-4293 | 2006-09-25 |
| 1194838433 | Bruce Taylor | Family Medicine | 2400 Wible Rd, Ste 14, Bakersfield, CA 93304 | 2006-08-17 |
| 1811915135 | Bruce L Taylor | Family Medicine | 577 S River Rd, St George, UT 84790-2097 | 2006-07-17 |
| Street Address |
4258 US HIGHWAY 80 W |
| City | SELMA |
| State | AL |
| Zip Code | 36701-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446832 | Michael Shane Hammett | Nurse Practitioner | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2018-05-02 |
| 1649784984 | Demetrius Steele | Nurse Practitioner | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2017-11-22 |
| 1477950350 | Shawn Howard | Nurse Practitioner | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2014-11-20 |
| 1780018275 | Kimberly M Simpson | Nurse Practitioner | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2013-09-03 |
| 1114013315 | Taylor Internal Medicine of Selma, P.C. | Specialist | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499253 | Jack Newton Burns | Family Medicine | 901 Medical Center Pkwy, Selma, AL 36701-6746 | 2005-06-30 |
| 1316944309 | Julian Parker Howell Jr. | Family Medicine | 901 Medical Center Pkwy, Selma, AL 36701-6746 | 2005-07-05 |
| 1558368548 | Nicholas Alan Knight | Family Medicine | 901 Medical Center Pkwy, Selma, AL 36701-6746 | 2005-07-05 |
| 1578560959 | Raymond Neil Brignac | Family Medicine | 901 Medical Center Pkwy, Selma, AL 36701-6746 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013465988 | Steve Lovelady Md LLC | Family Medicine | 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406-2430 | 2016-09-20 |
| 1821454224 | Harveen Sodhi | Family Medicine | 5310 Medford Dr, Hoover, AL 35244-2108 | 2016-01-14 |
| 1316363807 | Charles Karst IIi | Family Medicine | 6110 Monticello Dr, Montgomery, AL 36117-2625 | 2014-03-09 |
| 1174869820 | Self and Self Company, LLC | Family Medicine | 306 Greeno Rd S, Suite A, Fairhope, AL 36532-1905 | 2012-12-28 |
| 1740536036 | Franklin Primary Health Center, Inc | Family Medicine | 201 Dolive St, Bay Minette, AL 36507-3226 | 2012-07-24 |
| 1912260886 | Lloyd W. Russell | Family Medicine | 7325 Sibley St, 1040, Montrose, AL 36559-2100 | 2012-06-16 |
| 1184800948 | Delano Benjamin | Family Medicine | 1480 Forestdale Blvd, Forestdale, AL 35214-3034 | 2008-01-11 |
| 1760605851 | Jmh Medical Services, LLC | Family Medicine | 867 Lee Rd 248, Smiths Station, AL 36877 | 2007-04-10 |
| 1578645396 | Hazel Green Primary Care | Family Medicine | 13596 Highway 231 431 N, Suite 4, Hazel Green, AL 35750-8617 | 2006-10-20 |
| 1669563649 | Erwin Harry Peyton Jr. | Family Medicine | 601 S 4th St, Suite B, Gadsden, AL 35901-5218 | 2006-09-27 |
| 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.