Charles Michael Taylor II

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CHARLES MICHAEL TAYLOR II

Practice address

300 E Baker St
Clarksville, TX 75426-5034

Phone

(903) 427-2236

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Charles Taylor II, MDNPI 1538553417

Title

Owner

Phone

(903) 517-6009

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Michael Taylor II

  • Physical Medicine & Rehabilitation Physician
  • Clarksville, TX
  • NPI 1538553417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1134739303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 3000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BAKER ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754265034",
            "telephone_number": "903-427-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES MICHAEL TAYLOR II",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-517-6009",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ipsinfo@ipsrevenue.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 E Baker St",
            "city": "Clarksville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754265034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brad Bills Physical Therapy Services
• Brad Bills Physical Therapy Services Inc (Advanced Physical Therapy)
• Justin Brown, NP
• William Luther Bryson, PH
• Chambers County Public Hospital District No. 1 (Focused Care at Clarksville)
• Clarksville I.S.D.
• Clarksville Nursing Center, L.P. (Clarksville Nursing Center)
• Clarksville Pharmacy LLC (Clarksville Pharmacy)
• Bobby S. Conway, M.S. LPC
• Core Health Systems

• Physical Medicine & Rehabilitation Physician in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.