Bruce Thunder Taylor

Primary specialty

DriverTaxonomy code 172A00000X

License

7490212 Issued in LA

Practice address

1501 Arkansas Ave
Monroe, LA 71201-6407

Phone

(318) 692-0225

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transforming Lives Consultant Firm Transportation, L.L.C.

  • Non-emergency Medical Transport (VAN)
  • Monroe, LA
  • NPI 1528826674
  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1538847397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ARKANSAS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016407",
            "telephone_number": "318-692-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ARKANSAS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016407",
            "telephone_number": "318-692-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRUCE",
        "middle_name": "THUNDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "LA",
            "license": "7490212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Antly Tatem, PH.D
• Victoria Tates
• Ashlee N. Tatum
• Alexis Nicole Taunton
• Amy Eddleman Taylor, CRNA
• Carlie Williams Taylor
• Christen Nacora Taylor, RSW
• Courtney Taylor, BCBA, LBA
• Cynthia F Taylor, CIT
• Denise Dugas Taylor, M.A., CCC-SLP

• Driver in Monroe, LA
• Providers in Monroe, LA by specialty
• Driver in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.