Bruce Taylor

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

24464 Issued in AL

Practice address

4258 US Highway 80 W
Selma, AL 36701-2202

Phone

(334) 874-8800

Fax

(334) 874-7700

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Taylor Internal Medicine of Selma, P.C.

  • Specialist
  • Selma, AL
  • NPI 1114013315
  Medicare reassignment Authorized official
• Dr. Wade Clingan, D.C, P.C. at First Choice Chiropractic

  • Chiropractor
  • Prattville, AL
  • NPI 1689773608
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760410849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 US HIGHWAY 80 W",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367012202",
            "telephone_number": "334-874-8800",
            "fax_number": "334-874-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4258 US HIGHWAY 80 W",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367012202",
            "telephone_number": "334-874-8800",
            "fax_number": "334-874-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "24464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51516872",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916810",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D1015085",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swift Drug Co.Inc.
• Mary Elizabeth Switzer, CRNP
• Carbestha Tate-Braxton Barker, EDD, MS/ALC
• Taylor Internal Medicine of Selma, P.C.
• Yolanda Taylor-Rose, O.D.
• Thomas Kent Taylor, MD
• The Brant Center
• The Way LLC
• The Yelder Group, Inc.
• Therapeutic Life Concepts of Central Alabama

• Adult Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Adult Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.