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TAYLOR INTERNAL MEDICINE OF SELMA P.C. NPI 1114013315


NPI Information

NPI: 1114013315
Provider Name: TAYLOR INTERNAL MEDICINE OF SELMA, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2150035

Address:
4258 US HIGHWAY 80 W
SELMA, AL
ZIP 36701
Phone: (334) 874-8800
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TAYLOR INTERNAL MEDICINE OF SELMA, P.C. is a specialist in Selma, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TAYLOR INTERNAL MEDICINE OF SELMA, P.C. NPI is 1114013315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4258 US HIGHWAY 80 W
SELMA, AL
ZIP 36701-202
Phone: (334) 874-8800
Fax: (334) 874-7700

The provider's authorized official is Bruce Edward Taylor .
The authorized official title is Physician and has the following contact phone number (334) 874-8800.

The CLIA number assigned to this NPI record is 01D2150035 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 1/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist24464ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K560MEDICARE ID-TYPE UNSPECIFIEDALABAMA
2529916810MEDICAIDALABAMA
3H89537MEDICARE UPINALABAMA
45620230001MEDICARE NSCALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.