Active NPI
Jonathan Craig Taylor, MD
- Family Medicine Physician
- Jbsa, TX
National Provider Identifier
1962543892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200100478
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa, TX 78234 - Phone
- (210) 916-7500
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200100478 | NC | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa, TX 78234
Mailing address
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa, TX 78234
Phone (210) 916-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100478 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1962543892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JONATHAN",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2023-10-18",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200100478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jbsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.