MEDICARE: DR. BRIAN J TAYLOR MD

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
1	207Q00000X	Family Medicine Physician	MD428025	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50061850	OTHER	PA	CAPITAL BLUE CROSS-WMG SV
2	7241864	OTHER	PA	AETNA
3	P006502	OTHER	PA	GATEWAY-WMG
4	100989	OTHER	PA	GEISINGER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	20064071	OTHER	PA	AH MERCY-WMG READYCARE
7	50062688	OTHER	PA	CAPITAL BLUE CROSS-WMG RE
8	1844228	OTHER	PA	HIGHMARK BLUE SHIELD
9	1553246	OTHER	PA	GATEWAY-WMG WRC
10	102863	OTHER	PA	JOHNS HOPKINS
11	186365	OTHER	PA	UNISON-WMG SVFM
12	30153623	OTHER	PA	AMERIHEALTH CARITAS PA - WMG - THFPC
13	189958	OTHER	PA	UNISON-WMG READYCARE
14	20055992	OTHER	PA	AH MERCY-WMG SVFM
15	2161250	OTHER	PA	MAMSI-WMG READYCARE
16	884955	OTHER	MD	CAREFIRST MARYLAND BCBS
17	2147311	OTHER	PA	MAMSI-WMG SVFM

General Provider Information

NPI Number	:	1437185212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN J TAYLOR MD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-812-2501
Fax Number	:	717-461-7178

Provider Business Practice Location Address
First Line	:	13515 WOLFE RD
Second Line	:	SUITE C
City	:	NEW FREEDOM
State	:	PA
Zip	:	17349-9346
Country	:	US
Telephone Number	:	717-812-2501
Fax Number	:	717-416-7178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	11/17/2021

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