John Bryan M Taylan

Primary specialty

ContractorTaxonomy code 171W00000X

License

22758 Issued in MD

Practice address

1573 Provincial LN
Severn, MD 21144-1640

Phone

(757) 240-6529

NPI assigned

Feb 12, 2009

Last updated

Mar 19, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Access Therapies,Inc

  • Environmental Modification Occupational Therapist
  • Indianapolis, IN
  • NPI 1780013607
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1356580534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 PROVINCIAL LN STE 102",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441640",
            "telephone_number": "757-240-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 PROVINCIAL LN",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441640",
            "telephone_number": "757-240-6529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 W 71st St",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462782711",
            "country_code": "US",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLAN",
        "first_name": "JOHN BRYAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MD",
            "license": "22758",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "05009782A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rori Stephon, PHARMD
• Erika L Stevens, PHARMD
• Sonya Sutton
• Swiftcaremedtransport
• Namah Chiamo Taku Epse Forchu
• Matthew Adugna Tefera
• The People Health Care LLC
• The Zett Foundation Lncorporated
• Priya S Thirumlai, MD
• Holly Thomas

• Contractor in Severn, MD
• Providers in Severn, MD by specialty
• Contractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.