Taylor Wayne Brooks Blackwood, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2026-00894 Issued in NC

Practice address

419 Twins Way
Bermuda Run, NC 27006-8794

Phone

(336) 716-8091

Fax

(336) 716-0333

NPI assigned

May 13, 2021

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1114591203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 STADIUM DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TWINS WAY",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270068794",
            "telephone_number": "336-716-8091",
            "fax_number": "336-716-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794300002",
            "country_code": "US",
            "telephone_number": "806-743-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "TAYLOR",
        "middle_name": "WAYNE BROOKS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2026-00894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Artley, MS, OTR/L
• Joseph Robert Baker
• Batangas Consulting LLC (Bermuda Village Retirement Center)
• Aaron Paul Beck, MD, MPH
• Makayla Tysinger Berry, FNP
• Sarre Boglioli, DPT
• Mark Boles, PT, DPT
• Janis Elizabeth Buono, FNP-C
• Carenet, Inc. (CareNet Counseling)
• Kent Willis Cochran

• Orthopaedic Surgery Physician in Bermuda Run, NC
• Providers in Bermuda Run, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.