Provider Demographics
NPI:1053061770
Name:SIMPSON, TAYLOR BROOKE (DO)
Entity Type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:BROOKE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:BROOKE
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8255
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-8255
Mailing Address - Country:US
Mailing Address - Phone:304-598-4122
Mailing Address - Fax:304-598-4930
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-598-4122
Practice Address - Fax:304-598-4930
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program