Kent S. Taulbee, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Practice address

2418 E Lincoln St
Bloomington, IL 61701-5915

Phone

(309) 663-6386

Fax

(309) 662-7622

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1366442444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E LINCOLN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015915",
            "telephone_number": "309-663-6386",
            "fax_number": "309-662-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E LINCOLN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015915",
            "telephone_number": "309-663-6386",
            "fax_number": "309-662-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAULBEE",
        "first_name": "KENT",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5700247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Taravella, M.S.
• Kiara A Tate
• Chad Tattini
• Rebecca Eileen Tatz, LPC
• Jaylene Taubert, MSW LCSW
• Donald Nardi Taylor
• Jayden Taylor
• Timothy W Taylor, RPH
• Tcom Specialty Physicians, LLC
• Laura Tepen, LPC

• Procedural Dermatology Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.