Individual provider Active NPI

Kenneth K Taylor, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1144285156
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8637 Issued in AL
Practice address
7104 University CT
Montgomery, AL 36117-8045
Phone
(334) 395-5800
Fax
(334) 395-5880
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 00008631 AL
Specialist 174400000X 8637 AL Primary

Addresses

Primary practice location

7104 University CT
Montgomery, AL 36117-8045

Mailing address

7104 University CT
Montgomery, AL 36117-8045
Phone (334) 395-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20081006000297 AL Practitioner - Orthopedic Surgery 4183635386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7104 University CT
Montgomery, AL 36117-8045
Phone (334) 395-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8637ALMDSpecialist
00008631ALMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Orthopaedics and Sports Medicine Assoc Specialist CurrentSince Aug 22, 1996 Accepting new patients

Locations

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

242 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 384-1141

7104 University Ct
Montgomery, AL 36117
Phone (334) 215-0711

7104 University Ct
#B
Montgomery, AL 36117
Phone (334) 386-0329

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1144285156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178045",
            "telephone_number": "334-395-5800",
            "fax_number": "334-395-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178045",
            "telephone_number": "334-395-5800",
            "fax_number": "334-395-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENNETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AL",
            "license": "00008631",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "8637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.