Active NPI
Bradley Taylor
- Psychiatry Physician
- Farmington, NM
National Provider Identifier
1487394938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO2026-0061
- Practice address
- 555 S Schwartz Ave
Farmington, NM 87401-5955 - Phone
- (505) 609-6680
- Fax
- (505) 609-2259
- NPI assigned
- Mar 31, 2022
- Last updated
- Aug 19, 2026
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO2026-0061 | NM | Primary |
Addresses
Primary practice location
555 S Schwartz Ave
Farmington, NM 87401-5955
Mailing address
PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1487394938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844088",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844088",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S SCHWARTZ AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015955",
"telephone_number": "505-609-6680",
"fax_number": "505-609-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "DO2026-0061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.