Organization Active NPI

Brett a Taylor MD LLC

  • Orthopaedic Surgery Physician
  • Ballwin, MO
National Provider Identifier
1376946210
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BRETT A TAYLOR MD LLC
Practice address
884 Woods Mill Rd
Ste 201
Ballwin, MO 63011-3657
Phone
(636) 227-8226
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Ms. Jerrie K Weith
Title
Business Advisor
Phone
(314) 655-5558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

884 Woods Mill Rd
Ste 201
Ballwin, MO 63011-3657

Mailing address

884 Woods Mill Rd
Ste 201
Ballwin, MO 63011-3657
Phone (636) 227-8226

National Provider Directory

National Provider Directory

Locations

884 Woods Mill Rd
Ste 201
Manchester, MO 63011
Phone (636) 227-8226

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1376946210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WOODS MILL RD",
            "address_2": "STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113657",
            "telephone_number": "636-227-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WOODS MILL RD",
            "address_2": "STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113657",
            "telephone_number": "636-227-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT A TAYLOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "WEITH",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS ADVISOR",
        "authorized_official_telephone_number": "314-655-5558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.