IndividualActive
Brandon Taylor, D.O.
NPI 1285855106 · Pediatrics Physician · Meridian, ID
Provider details
- NPI number
- 1285855106
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O0725 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4740 N Penngrove Way Ste 210
Meridian, ID 83646-7447
Phone: (208) 514-0203
Approximate (ZIP-level) locationGet directions
Mailing address
4740 N Penngrove Way Ste 210
Meridian, ID 83646-7447
Additional practice locations (1)
- 1435 E Phenomenal StMeridian, ID 83642-1057Phone: (208) 514-0203Fax: (855) 818-2019
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.