| Bruce Taylor, | |
|
4258 Us Highway 80 W, Selma, AL 36701-2202 | |
| (334) 874-8800 | |
| (334) 874-7700 |
| Full Name | Bruce Taylor |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Adult Medicine |
| Location | 4258 Us Highway 80 W, Selma, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760410849 | NPI | - | NPPES |
| 51516872 | Other | AL | BC/BS |
| 529916810 | Medicaid | AL | |
| 01D1015085 | Other | AL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 24464 (Alabama) | Primary |
| Entity Name | Taylor Internal Medicine Of Selma, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114013315 PECOS PAC ID: 9537190350 Enrollment ID: O20050822001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Taylor, 4258 Us Highway 80 W, Selma, AL 36701-2202 Ph: (334) 874-8800 | Bruce Taylor, 4258 Us Highway 80 W, Selma, AL 36701-2202 Ph: (334) 874-8800 |
Sheriff Olufemi Shittu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-875-4184 | |
Boyd Lee Bailey Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701 Phone: 334-875-4184 Fax: 334-874-3473 | |
Jada Rhymes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701 Phone: 334-874-3463 Fax: 334-874-3550 | |
Jacob Mathai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-334-8754 | |
Dr. Sai Shankar Namburu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Medical Center Pkwy, Selma, AL 36701 Phone: 334-875-8833 Fax: 334-875-8843 | |
Dr. Ernest T Okeke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Jeff Davis Ave, Suite A, Selma, AL 36701 Phone: 334-875-9472 Fax: 334-872-4665 | |
Dr. Ephraim Reyes Caangay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-334-8754 |