Taylor, Bruce Kenneth

Taylor, Bruce Kenneth is an individual health care provider with primary practice located at 2528 Sister Mary Columba Dr , Red Bluff CA 96080-4327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Taylor, Bruce Kenneth can be contacted via phone (530) 528-6100.

Contact Information

Primary practice address
2528 Sister Mary Columba Dr Red Bluff CA 96080-4327
Fax: (530) 528-6146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30395 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD168405 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C50150 California

Profile Details

NPI number 1962430835
LBN Legal business name Taylor, Bruce Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962430835 NPPES
Colorado MEDICAID 01303957

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