Brent H Taylor, MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3517 Issued in AK

Legal business name

BRENT H TAYLOR, MD LLC

Practice address

2490 S. Woodworth Loop, Suite 400
Palmer, AK 99645

Phone

(907) 745-9400

Fax

(907) 745-9444

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brent H Taylor, MD

Title

Owner

Phone

(907) 745-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1891874491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S. WOODWORTH LOOP, SUITE 400",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-9400",
            "fax_number": "907-745-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S. WOODWORTH LOOP, SUITE 400",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-9400",
            "fax_number": "907-745-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT H TAYLOR, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-745-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlin D Bozone, L.P.C.
• Julie Bradshaw
• Reba M. Brady, M.A., CDC II
• Jessica Lynn Bray, ANP-C
• Jenifer Breiner
• Dawn Brickel
• Valerie L Brock, LCSW
• Garland Brooks
• Jason Brooks, MD
• Grace Brown

• Surgery Physician in Palmer, AK
• Providers in Palmer, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.