Provider Demographics
NPI:1437185212
Name:TAYLOR, BRIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2501
Mailing Address - Fax:717-461-7178
Practice Address - Street 1:13515 WOLFE RD
Practice Address - Street 2:SUITE C
Practice Address - City:NEW FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:17349-9346
Practice Address - Country:US
Practice Address - Phone:717-812-2501
Practice Address - Fax:717-416-7178
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50061850OtherCAPITAL BLUE CROSS-WMG SV
PA7241864OtherAETNA
PAP006502OtherGATEWAY-WMG
PA100989OtherGEISINGER
PA101542140Medicaid
PA20064071OtherAH MERCY-WMG READYCARE
PA50062688OtherCAPITAL BLUE CROSS-WMG RE
PA1844228OtherHIGHMARK BLUE SHIELD
PA1553246OtherGATEWAY-WMG WRC
PA102863OtherJOHNS HOPKINS
PA186365OtherUNISON-WMG SVFM
PA30153623OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PA189958OtherUNISON-WMG READYCARE
PA20055992OtherAH MERCY-WMG SVFM
PA2161250OtherMAMSI-WMG READYCARE
MD884955OtherCAREFIRST MARYLAND BCBS
PA2147311OtherMAMSI-WMG SVFM
PA1844228OtherHIGHMARK BLUE SHIELD
PA30153623OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PA101542140Medicaid