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NPI Code Detail

MEDICARE: DR. THOMAS B TAYLOR JR. M.D.

MEDICARE: DR. THOMAS B TAYLOR JR. M.D.
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
1208600000XSurgery PhysicianTN29893TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16038639OTHERTNBCBS TN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750584710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS B TAYLOR JR. M.D.
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number : 615-264-5884
Provider Business Practice Location Address
First Line : 353 NEW SHACKLE ISLAND RD STE 247C
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-2366
Country : US
Telephone Number : 615-264-5850
Fax Number : 615-264-5884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 12/10/2025

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