Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Taylor, DO

Individual provider Family Medicine Physician · NPI 1114458262

Blake Taylor, DO is a Family Practice in Provo, Utah. Graduated from Campbell Univ School of Osteopathic Medicine in 2017, 9 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
UT
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10939818-1204 (UT)

Record details

NPI number1114458262
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 21, 2017
Last updated in NPPESFebruary 25, 2019
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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