Individual provider Active NPI

Bennie Taylor II, M.D., M.P.H

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1154777019
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047208 Issued in DC
Practice address
1525 14TH St NW
Washington, DC 20005-3706
Phone
(202) 745-7000
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD047208 DC Primary

Addresses

Primary practice location

1525 14TH St NW
Washington, DC 20005-3706

Mailing address

1654 Montello Ave NE Unit 2
Washington, DC 20002-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OH, NC, IN, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200114000687 DC Practitioner - General Practice 4486941101 Reassigns benefits to 1 organization
I20230322002314 OH Practitioner - Internal Medicine 4486941101 Reassigns benefits to 1 organization
I20230419002822 NC Practitioner - Internal Medicine 4486941101 Reassigns benefits to 1 organization
I20240116001881 IN Practitioner - Internal Medicine 4486941101 Reassigns benefits to 1 organization
I20240524002645 FL Practitioner - Internal Medicine 4486941101 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Nov 18, 2019 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince Feb 24, 2023 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Mar 1, 2023 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Nov 18, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Washington, DC 20009
Phone (202) 745-7000

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

4444 The Plaza
Unit 18
Charlotte, NC 28215

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

3333 Brookview Hills Blvd
Ste 102
Winston Salem, NC 27103
Phone (336) 760-1448

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1154777019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 MONTELLO AVE NE UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "202-745-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BENNIE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD047208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.