BRADLEY CLIFFORD TAYLOR (NPI# 1902809643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902809643 |
| Entity Type | Individual |
| Full Name | BRADLEY CLIFFORD TAYLOR |
| Credential | D.O. |
| Practice Address |
14701 N Santa Fe Ave Edmond OK 73013-3411 |
| Practice Telephone | 4057522733 |
| Practice Fax Number | 4057522172 |
| Mailing Telephone | 4057522733 |
| Mailing Fax Number | 4057522172 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2479 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CIGNA | 2871904 | 01 |
| OK | UNITED HEALTHCARE | 899616 | 01 |
| OK | AETNA | 458329 | 01 |
| OK | 100153730A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
| 1609363126 | Bradley R Taylor Sr. | Counselor | 2697 International Pkwy Ste 104-1, Virginia Beach, VA 23452-7805 | 2018-04-19 |
| 1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1639376239 | Bradley Alan Taylor | Dentist | 2517 Burns Rd, Palm Beach Gardens, FL 33410-5204 | 2007-06-28 |
| 1417070368 | Bradley E Taylor | Specialist/Technologist | 1 Neumann Dr, Aston, PA 19014-1277 | 2007-04-07 |
| 1508360553 | Bradley Joel Taylor | Optometrist | 1100 N College Ave, Fayetteville, AR 72703 | 2018-03-22 |
| 1922529080 | Bradley Shane Taylor | Nurse Practitioner | 4645 Village Square Dr Ste C, Paducah, KY 42001-7448 | 2017-06-29 |
| 1194262675 | Bradley Taylor | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106 | 2017-01-23 |
| 1013328632 | Bradley Taylor | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-16 |
| Street Address |
14701 N SANTA FE AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051408 | Britton Vision Associates Inc | Ophthalmology | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2005-05-24 |
| 1699328013 | Andrew Henderson | Optometrist | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2019-07-24 |
| 1588957146 | Don Cong Nguyen | Ophthalmology | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2011-05-16 |
| 1083617054 | Brian Dale Morgan | Ophthalmology | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2005-05-24 |
| 1932102894 | Larry Randall Henry | Optometrist | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2005-05-24 |
| 1033112016 | Bradley Don Britton | Ophthalmology | 14701 N Santa Fe Ave, Edmond, OK 73013-3411 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154709970 | Vincent David Venincasa | Ophthalmology | 920 S Bryant Ave Ste 100, Edmond, OK 73034-5803 | 2015-05-13 |
| 1811284946 | Retina Vitreous Center, Pllc | Ophthalmology | 1008 Nw 139th Street Parkway, Edmond, OK 73013-9791 | 2011-07-10 |
| 1730476730 | Jared Jackson | Ophthalmology | 3431 S Boulevard Ste 105, Edmond, OK 73013-5514 | 2011-06-29 |
| 1306904123 | Erin L Holloman | Ophthalmology | 16315 N May Ave, Edmond, OK 73013-8892 | 2006-12-05 |
| 1558435099 | Jeffrey T Shaver PC | Ophthalmology | 3840 S Boulevard, Suite 101, Edmond, OK 73013-5478 | 2006-11-17 |
| 1205949609 | Edmond Regional Eye Associates Inc | Ophthalmology | 920 S Bryant, Ste 100, Edmond, OK 73034 | 2006-08-17 |
| 1588671408 | Virgil Jerry Shepherd | Ophthalmology | 3431 S Boulevard, Suite 106, Edmond, OK 73013 | 2006-08-02 |
| 1780634782 | Ryan Ridges | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2006-05-11 |
| 1124088067 | Thomas C Wolf | Ophthalmology | 3431 S Boulevard St, Suite 106, Edmond, OK 73013-5475 | 2006-03-24 |
| 1073582409 | Jeffrey T Shaver | Ophthalmology | 3840 South Boulevard, Suite 101, Edmond, OK 73013-5478 | 2006-03-16 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on BRADLEY CLIFFORD TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.