Provider Demographics
NPI:1700911559
Name:TAYLOR, DONALD ALAN (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5875 BREMO RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1934
Mailing Address - Country:US
Mailing Address - Phone:804-288-9898
Mailing Address - Fax:804-673-6616
Practice Address - Street 1:5875 BREMO RD
Practice Address - Street 2:SUITE 310
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1934
Practice Address - Country:US
Practice Address - Phone:804-288-9898
Practice Address - Fax:804-673-6616
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010361792084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6154174Medicaid
VA6154174Medicaid