Active NPI
Bradley Steven Taylor, PA-C
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 200 Robinhood Medical PLZ
Winston Salem, NC 27106 - Phone
- (336) 718-7950
- NPI assigned
- Jan 23, 2017
- Last updated
- Nov 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
200 Robinhood Medical PLZ
Winston Salem, NC 27106
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-7950
Other practice location 1
1730 Kernersville Medical Pkwy Ste 204
Kernersville, NC 27284-7198
Phone (336) 277-4460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | btaylor424253@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1622 Highwoods Blvd
Unit G105
Greensboro, NC 27410-2048
Phone (336) 660-5200
1730 Kernersville Medical Pkwy
Kernersville, NC 27284-7198
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
6431 Old Plank Rd
High Point, NC 27265-3274
Phone (336) 875-6530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1730 Kernersville Medical Pkwy
Ste 204
Kernersville, NC 27284
Phone (336) 277-4460
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Salisbury, NC
- NPI 1770827388
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
-
dba Novant Health Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Winston Salem, NC
- NPI 1831500354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1194262675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-718-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ROBINHOOD MEDICAL PLZ",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-718-7950"
}
],
"practiceLocations": [
{
"address_1": "1730 Kernersville Medical Pkwy Ste 204",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272847198",
"country_code": "US",
"telephone_number": "336-277-4460",
"fax_number": "336-992-2674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRADLEY",
"middle_name": "STEVEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "btaylor424253@direct.novanthealth.org",
"affiliation": "N",
"address_1": "200 Robinhood Medical Plz",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "27106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.