Rebecca Louise Bracken-Taylor, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

58.033837 Issued in OH

Practice address

200 Mullins Dr
Lebanon, OR 97355-3983

Phone

(541) 259-0200

NPI assigned

Jun 12, 2019

Reactivated

Jul 12, 2023

Sex

Female

Sole proprietor

No

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.

• Western University of Health Sciences

  • Adult Medicine Physician
  • Lebanon, OR
  • NPI 1639555170
  NPD (past)

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

• Rebecca Louise Bracken Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2026.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1992364996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074205",
            "telephone_number": "216-237-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MULLINS DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553983",
            "telephone_number": "541-259-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN-TAYLOR",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "deactivation_date": "2023-05-30",
        "reactivation_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.033837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BRACKEN",
            "middle_name": "LOUISE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amithyst Bosley
• Stephanie Erica Bosvert
• Hadjer Bounama
• Penny Boyd
• Jodell J. Boyle, M.D.
• Breaking Free, LLC
• Bridge Creek Investors LLC
• Jaclyn Nicole Brooks, MS, LBA, BCBA
• Lindsay Brown
• Shelley Brown

• All providers in Lebanon, OR
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.