Individual provider Active NPI

Lendel Mark Taylor, MD

  • Psychiatry Physician
  • Brandon, FL
National Provider Identifier
1457317083
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME55803 Issued in FL
Practice address
1454 Oakfield Dr
Brandon, FL 33511-4853
Phone
(813) 653-1150
Fax
(813) 653-1429
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME55803 FL Primary

Addresses

Primary practice location

1454 Oakfield Dr
Brandon, FL 33511-4853

Mailing address

PO Box 1150
Brandon, FL 33509-1150
Phone (813) 653-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101118001313 FL Practitioner - Psychiatry 4587850391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Columbia School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1454 Oakfield Dr
Brandon, FL 33511-4853
Phone (813) 653-1150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Taylor MD and Associates PA Psychiatry CurrentSince Jul 27, 2010 Accepting new patients

Locations

1454 Oakfield Dr
Brandon, FL 33511
Phone (813) 653-1150

1463 Oakfield Dr
Ste 131
Brandon, FL 33511
Phone (813) 491-8300

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1457317083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335091150",
            "telephone_number": "813-653-1150",
            "fax_number": "813-653-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114853",
            "telephone_number": "813-653-1150",
            "fax_number": "813-653-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LENDEL",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME55803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.