DR. BRANDON MARK TAYLOR D.O.
NPI 1285855106
Pediatrics in Meridian, ID

Active since May 01, 2007
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646(208) 514-0203 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2026, May 19, 2022 (2 updates tracked since 2022).

About Dr. Brandon Mark Taylor D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON MARK TAYLOR D.O. (NPI 1285855106) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (O0725) and active in the NPI registry since May 2007. He maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1285855106
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRANDON MARK TAYLORCredential: D.O.
Location Address4740 N PENNGROVE WAY STE 210Meridian, ID 83646-7447
Mailing Address4740 N Penngrove Way Ste 210Meridian, ID 83646-7447 · (208) 514-0203
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1285855106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ID · O0725
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4740 N PENNGROVE WAY STE 210, Meridian, ID 83646

Secondary Practice Location 1

Location 11435 E Phenomenal StMeridian, ID 83642-1057 · Phone (208) 514-0203 · Fax (855) 818-2019

Other Identifiers 1

Medicaid833642513ID

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4740 N PENNGROVE WAY STE 210
MERIDIAN, ID 83646
Nurse Practitioner (Pediatrics)
4740 N PENNGROVE WAY STE 210
MERIDIAN, ID 83646
Pediatrics
4740 N PENNGROVE WAY STE 210
MERIDIAN, ID 83646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285855106, enumerated as an "individual" on May 01, 2007.

The provider is located at 4740 N PENNGROVE WAY STE 210 MERIDIAN, ID 83646 and the phone number is (208) 514-0203.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.