Organization Active NPI

G.B. Taylor, D.O., P.a.

  • Family Medicine Physician
  • Mt Pleasant, TX
National Provider Identifier
1689676140
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9637 Issued in TX
Legal business name
G.B. TAYLOR, D.O., P.A.
Practice address
2320 Harts Bluff Rd
Suite a
Mt Pleasant, TX 75455-7453
Phone
(903) 572-1951
Fax
(903) 572-2590
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Williams Bradley Burrows, D.O.
Title
Vice-President
Phone
(903) 572-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X J9637 TX Primary

Addresses

Primary practice location

2320 Harts Bluff Rd
Suite a
Mt Pleasant, TX 75455-7453

Mailing address

2320 Harts Bluff Rd
Suite a
Mt Pleasant, TX 75455-7453
Phone (903) 572-1951

Other identifiers 2

IdentifierTypeStateIssuer
1716581MedicaidTX
DD1496OtherTXMEDICARE RAILROAD

Other names 1

  • G.B. Taylor, D.O., P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

2320 Harts Bluff Rd
Ste A
Mt Pleasant, TX 75455
Phone (903) 572-1951

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1689676140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HARTS BLUFF RD",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754557453",
            "telephone_number": "903-572-1951",
            "fax_number": "903-572-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HARTS BLUFF RD",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754557453",
            "telephone_number": "903-572-1951",
            "fax_number": "903-572-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.B. TAYLOR, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "903-572-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716581",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD1496",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.B. Taylor, D.O., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.