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NPI Code Detail

MEDICARE: TAYLOR B NELSON D.O.

MEDICARE: TAYLOR B NELSON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician94-09266KS
2207R00000XInternal Medicine Physician2016039969MO
3208M00000XHospitalist Physician2016039969MO
4207RI0200XInfectious Disease Physician2016039969MO
5207RI0200XInfectious Disease Physician94-09266KS

General Provider Information

NPI Number : 1104230903
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR B NELSON D.O.
Provider Business Mailing Address
First Line : PO BOX 505673
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63150-5673
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOSPITAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65212-0001
Country : US
Telephone Number : 573-884-9066
Fax Number : 573-884-3037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 02/25/2025

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Directions to “ TAYLOR B NELSON D.O.” Practice Location

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